Onset of polyarticular juvenile idiopathic arthritis with both anti-cyclic citrullinated peptide antibodies and rheumatoid factor in a 3-year-old girl

Autor: Yasui Kozo, Sakata Sonoko, Ochi Hideaki, Itamura Shinji, Hirai Kenta, Takenaka Mieko, Mitani Osamu, Ogawa Kazunori, Iyoda Kuniaki
Jazyk: angličtina
Rok vydání: 2012
Předmět:
Zdroj: Pediatric Rheumatology Online Journal, Vol 10, Iss 1, p 41 (2012)
Druh dokumentu: article
ISSN: 1546-0096
DOI: 10.1186/1546-0096-10-41
Popis: Abstract This report describes 3 year old girl with the unusual presentation of polyarticular juvenile idiopathic arthritis (JIA) with anti-cyclic citrullinated peptide (anti-CCP) antibodies and a positive rheumatoid factor (RF). She was initially treated with a nonsteroidal anti-inflammatory drug (NSAID; ibuprofen) followed by methotrexate (MTX, 10 mg/m2/week) and prednisolone (0.25 mg/kg/day), but these treatments were ineffective. Administration of tocilizumab, a humanized antihuman interleukin-6 receptor monoclonal antibody, promptly improved her clinical manifestations, and she has been in complete remission (DAS28
Databáze: Directory of Open Access Journals