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TNF-Alpha Inhibitors for Chronic Urticaria: Experience in 20 Patients

机译:慢性荨麻疹的TNF-α抑制剂:20例患者的经验

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摘要

Patients with severe chronic urticaria may not respond to antihistamines, and other systemic treatment options may either be ineffective or associated with unacceptable side effects. We present data on efficacy and safety of adalimumab and etanercept in 20 adult patients with chronic urticaria. Twelve (60%) patients obtained complete or almost complete resolution of urticaria after onset of therapy with either adalimumab or etanercept. Further three patients (15%) experienced partial response. Duration of treatment ranged between 2 and 39 months. Those responding completely or almost completely had a durable response with a mean of 11 months. Six patients (30%) experienced side effects and five patients had mild recurrent upper respiratory infections, whereas one patient experienced severe CNS toxicity that could be related to treatment with TNF-alpha inhibitor. Adalimumab and etanercept may be effective and relatively safe treatment options in a significant proportion of patients with chronic urticaria who do not respond sufficiently to high-dose antihistamines or in whom standard immunosuppressive drugs are ineffective or associated with unacceptable side effects.
机译:患有严重慢性荨麻疹的患者可能对抗组胺药无反应,其他全身治疗选择可能无效或伴有不可接受的副作用。我们提供了20名成人慢性荨麻疹患者中阿达木单抗和依那西普的疗效和安全性数据。在开始使用阿达木单抗或依那西普治疗后,十二名(60%)患者获得了荨麻疹的完全或几乎完全消退。另外三名患者(15%)经历了部分缓解。治疗持续时间在2到39个月之间。那些完全或几乎完全响应的人有一个持久的响应,平均11个月。 6名患者(30%)出现副作用,5名患者出现轻度复发的上呼吸道感染,而1名患者出现严重的中枢神经系统毒性,这可能与TNF-α抑制剂治疗有关。阿达木单抗和依那西普可能在相当大比例的慢性荨麻疹患者中是有效且相对安全的治疗选择,这些患者对高剂量抗组胺药反应不足或标准免疫抑制药无效或副作用不可接受。

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