The effect of etanercept on a case of amyloidosis secondary to ankylosing spondylitis: results of 2-year follow-up

Küçük Resim Yok

Tarih

2013

Dergi Başlığı

Dergi ISSN

Cilt Başlığı

Yayıncı

Publisaude-Edicoes Medicas Lda

Erişim Hakkı

info:eu-repo/semantics/closedAccess

Özet

Secondary amyloidosis (type AA) is rarely encountered but can be a significant complication of ankylosing spondylitis (AS) and may lead to proteinuria and renal dysfunction. Anti-tumor necrosis factor-alpha (anti-TNF-alpha) agents may be used to induce clinical remission by suppressing systemic inflammation in secondary amyloidosis. The patient described, with the diagnosis of AS, was diagnosed with secondary amyloidosis, despite treatment with disease modifying anti-rheumatic medication. He developed marked proteinuria, renal dysfunction and low levels of serum albumin. Diagnosis of amyloidosis was confirmed by renal biopsy During a 2-year treatment period with etanercept, an anti-TNF-alpha agent, a definite improvement was determined in all parameters. This case illustrates that in the treatment of secondary amyloidosis related to AS, etanercept, an anti-TNF-alpha agent, can be considered an effective therapeutic option.

Açıklama

Anahtar Kelimeler

Ankylosing Spondylitis, Secondary Amyloidosis, Etanercept, Renal Function

Kaynak

Acta Reumatologica Portuguesa

WoS Q Değeri

Q4

Scopus Q Değeri

Q3

Cilt

38

Sayı

4

Künye