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首页> 外文期刊>Modern rheumatology >Benefit and a possible risk of tocilizumab therapy for adult-onset Still's disease accompanied by macrophage-activation syndrome.
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Benefit and a possible risk of tocilizumab therapy for adult-onset Still's disease accompanied by macrophage-activation syndrome.

机译:成年人巨噬细胞活化综合征伴发的成年斯蒂尔氏病的托珠单抗治疗的益处和可能的风险。

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摘要

We report a 57-year-old female case of intractable adult-onset Still's disease (AOSD). Initial high-dose prednisolone therapy was ineffective, and macrophage-activation syndrome (MAS) manifested after one session of additional tocilizumab therapy. After successful treatment for MAS with lipo-dexamethasone and cyclosporin, tocilizumab therapy aided in the rapid reduction of the therapeutic steroid dose. Tocilizumab may be useful for maintenance therapy for AOSD, although its efficacy is unclear for the highly active phase of the disease.
机译:我们报告一位57岁女性顽固性成人发作的斯蒂尔氏病(AOSD)。最初的大剂量泼尼松龙治疗无效,巨噬细胞活化综合症(MAS)在另一次tocilizumab治疗后出现。用脂地塞米松和环孢菌素成功治疗MAS后,托珠单抗治疗有助于快速降低类固醇的治疗剂量。托珠单抗可能对AOSD的维持治疗有用,尽管尚不清楚该药对疾病的高活性期的疗效。

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