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Induction or aggravation of other immune-mediated disorders by disease-modifying therapy in treatment of multiple sclerosis

机译:通过疾病改良疗法诱导或加重其他免疫介导的疾病,治疗多发性硬化症

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Interferon beta (IFN-β) and glatiramer acetate (GA) are the primary therapeutic immunomodulatory agents that interfere with relapsing-remitting multiple sclerosis (RRMS), and the most commonly-used drugs as well. Induction or aggravation of other immune-mediated diseases has been reported following INF-β administration. We have reviewed the reported cases to notify the treating physicians about these rare adverse events. Although co-morbid autoimmune disorders have been reported in patients with MS, the pro-inflammatory role of disease-modifying drugs, especially INF-β, could affect and enhance this co-occurrence. Clinical or laboratory autoimmunity histories suggest the use of GA over INF-β as the treatment of choice.
机译:干扰素β(IFN-β)和醋酸格拉替雷(GA)是干扰复发缓解型多发性硬化症(RRMS)的主要治疗性免疫调节剂,也是最常用的药物。已经报道在施用INF-β后诱导或加剧其他免疫介导的疾病。我们已审查了所报告的病例,以将这些罕见的不良事件通知治疗医生。尽管在MS患者中已报告了并存的自身免疫性疾病,但疾病改变药物尤其是INF-β的促炎作用可能会影响并增强这种共存。临床或实验室自身免疫史建议使用GA替代INF-β作为治疗选择。

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