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THERAPEUTIC CAPABILITIES OF ETHANERCEPT IN TREATMENT OF SYSTEMIC JUVENILE RHEUMATOID ARTHRITIS

Abstract

The article presents a clinical case of severe systemic juvenile rheumatoid arthritis, refractory to traditional immunosuppressive treatment and with insufficient efficacy of chimeric homogenous anti-TNF-a antibodies. The patient received 2 courses of anti-Blymphocyte’s- CD20-antibodies that helped to arrest all systemic manifestations of the disease. Articular syndrome was arrested only with the help of soluble receptors to TNF a — ethanercept, given in following dose — 0.4 mg per kg of body mass. The patient has been on treatment with ethanercept for 24 weeks. Joint tenderness and exudation were diminished already after the first 4 weeks of treatment, also there was a dramatic increase in joint motion range. After 6 months of therapy we have managed to improve the patients and his family quality of life.
Key words: children, juvenile rheumatoid arthritis, ethanercept, treatment.
(Voprosy sovremennoi pediatrii — Current Pediatrics. 2011; 10 (3): 141–149)

About the Authors

E.I. Alexeeva
Scientific Center of Children’s Health, Russian Academy of Medical Sciences, Moscow I.M. Sechenov First Moscow State Medical University


T. M. Bzarova
Scientific Center of Children’s Health, Russian Academy of Medical Sciences, Moscow


S.I. Valieva
Scientific Center of Children’s Health, Russian Academy of Medical Sciences, Moscow


R. V. Denisova
Scientific Center of Children’s Health, Russian Academy of Medical Sciences, Moscow


N.A. Tsurikova
Scientific Center of Children’s Health, Russian Academy of Medical Sciences, Moscow


E.V. Mitenko
Scientific Center of Children’s Health, Russian Academy of Medical Sciences, Moscow


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Review

For citations:


Alexeeva E., Bzarova T., Valieva S., Denisova R., Tsurikova N., Mitenko E. THERAPEUTIC CAPABILITIES OF ETHANERCEPT IN TREATMENT OF SYSTEMIC JUVENILE RHEUMATOID ARTHRITIS. Current Pediatrics. 2011;10(3):141–149.

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