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Development of intracranial vasculitis in giant cell arteritis during tocilizumab treatment

Naderi, Nazanin LU orcid (2020) In Clinical and Experimental Rheumatology 38(2, Suppl 124).
Abstract
Giant cell arteritis (GCA), a systemic large-vessel vasculitis, is a disease that has been treated with glucocorticoids since 1950. Over the years, several disease-
modifying anti-rheumatic drugs have been evaluated as steroid-sparing agents with disappointing results. Tocilizumab, an interleukin-6 inhibitor, has in recent years been approved for the treatment of GCA. It remains uncertain whether the drug suppresses disease activity and maintains remission or just alleviates the symptoms and masks the signs of smoldering disease. This case describes the clinical findings at diagnosis and the course of the disease with the subsequent development of intracranial vasculitis in a 70-year-old male treated with tocilizumab. The present case... (More)
Giant cell arteritis (GCA), a systemic large-vessel vasculitis, is a disease that has been treated with glucocorticoids since 1950. Over the years, several disease-
modifying anti-rheumatic drugs have been evaluated as steroid-sparing agents with disappointing results. Tocilizumab, an interleukin-6 inhibitor, has in recent years been approved for the treatment of GCA. It remains uncertain whether the drug suppresses disease activity and maintains remission or just alleviates the symptoms and masks the signs of smoldering disease. This case describes the clinical findings at diagnosis and the course of the disease with the subsequent development of intracranial vasculitis in a 70-year-old male treated with tocilizumab. The present case illustrates the need for further studies regarding tocilizumab
in the treatment of GCA patients
and the need for meticulous evaluation
at follow-ups. (Less)
Please use this url to cite or link to this publication:
author
publishing date
type
Contribution to journal
publication status
published
subject
keywords
giant cell arteritis, intracranial vasculitis, biological therapy, tocilizumab, blood pressure, arterial pressure
in
Clinical and Experimental Rheumatology
volume
38
issue
2, Suppl 124
article number
CER13254
publisher
Pacini
external identifiers
  • pmid:32359040
  • scopus:85085537978
ISSN
1593-098X
language
English
LU publication?
no
id
58d33a36-40c6-47fc-8776-132221ba0d03
date added to LUP
2020-05-05 21:03:55
date last changed
2024-02-10 04:06:19
@article{58d33a36-40c6-47fc-8776-132221ba0d03,
  abstract     = {{Giant cell arteritis (GCA), a systemic large-vessel vasculitis, is a disease that has been treated with glucocorticoids since 1950. Over the years, several disease-<br/>modifying anti-rheumatic drugs have been evaluated as steroid-sparing agents with disappointing results. Tocilizumab, an interleukin-6 inhibitor, has in recent years been approved for the treatment of GCA. It remains uncertain whether the drug suppresses disease activity and maintains remission or just alleviates the symptoms and masks the signs of smoldering disease. This case describes the clinical findings at diagnosis and the course of the disease with the subsequent development of intracranial vasculitis in a 70-year-old male treated with  tocilizumab. The present case illustrates the need for further studies regarding tocilizumab<br/>in the treatment of GCA patients<br/>and the need for meticulous evaluation<br/>at follow-ups.}},
  author       = {{Naderi, Nazanin}},
  issn         = {{1593-098X}},
  keywords     = {{giant cell arteritis; intracranial vasculitis; biological therapy; tocilizumab; blood pressure; arterial pressure}},
  language     = {{eng}},
  number       = {{2, Suppl 124}},
  publisher    = {{Pacini}},
  series       = {{Clinical and Experimental Rheumatology}},
  title        = {{Development of intracranial vasculitis in giant cell arteritis during tocilizumab treatment}},
  volume       = {{38}},
  year         = {{2020}},
}