Journal of Clinical Medicine Research, ISSN 1918-3003 print, 1918-3011 online, Open Access |
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Case Report
Volume 8, Number 4, April 2016, pages 334-337
Long-Term Efficacy of Adalimumab in Patients With Intestinal Behcet’s Disease: Eight Consecutive Cases
Figure
Tables
Demography | Number (%) (N = 8) |
---|---|
Male sex | 4 (50%) |
Mean age | 46.6 |
Smoking (current) | 1 (12.5%) |
Alcohol | 1 (12.5%) |
Disease type | |
Complete/incomplete/suspicious | 0/7/1 |
GI symptom score | |
3 | 5 (62.5%) |
4 | 3 (37.5%) |
Ulcer size at ileocecum | |
1 - 2 cm | 2 (25%) |
2 - 3 cm | 3 (37.5%) |
≥ 3 cm | 3 (37.5%) |
Concomitant drugs | |
Mesalazine | 4 (50%) |
Prednisolone | 4 (50%) |
Azathioprine | 1 (12.5%) |
Case No. | Age | Sex | Type | Postoperative recurrence | 0 week | Treated ADA | 10 weeks | Marked improvement | 52 weeks | Marked improvement | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
GI symp | Ulcer size | Oral aphtha | CRP | Pretreated | GI symp | End score | CRP | Oral aphtha | GI symp | End score | CRP | Oral aphtha | ||||||||
Numbers in parentheses indicate doses (mg/day) of concurrent drugs. Asterisk means last observation carried forward because endoscopic score of patient 6 presented with the 32-week score. MLZ: mesalazine; PSL: prednisolone; AZA: azathioprine; CRP: C-reactive protein; ADA: adalimumab; symp: symptom; End score: endoscopic score; failed: failed to achieve clinical response. | ||||||||||||||||||||
1 | 65 | M | Incomplete | - | 3 | 3 cm | + | 5.44 | PSL (5) | + | 1 | 1 | 0.37 | - | + | 0 | 2 | 0.43 | - | - |
2 | 29 | F | Incomplete | - | 4 | 1 - 2 cm | + | 0.18 | PSL (5) | + | 2 | 0 | 0.10 | - | - | 1 | 0 | 0.14 | - | + |
3 | 39 | M | Incomplete | - | 4 | 3 cm | + | 0.38 | PSL (10) | + | 2 | 0 | 0.05 | - | - | 1 | 0 | 0.05 | - | + |
4 | 41 | F | Suspicious | - | 4 | 2 - 3 cm | + | 0.20 | PSL (failed), MLZ (2,000) | + | 0 | 1 | 0.05 | - | + | 0 | 1 | 0.03 | - | + |
5 | 68 | M | Incomplete | + | 3 | 2 - 3 cm | + | 0.33 | PSL (25), AZA (25) | + | 1 | 1 | 0.08 | - | + | 1 | 1 | 0.15 | - | + |
6 | 59 | M | Incomplete | - | 3 | 1 - 2 cm | + | 0.42 | MLZ (3,000) | + | 0 | 0 | 0.04 | + | + | 0 | 0* | 0.03 | + | + |
7 | 15 | F | Incomplete | - | 3 | 2 - 3 cm | + | 0.58 | MLZ (2,000) | + | 0 | 0 | 0.04 | + | + | 0 | 0 | 0.07 | + | + |
8 | 57 | F | Incomplete | - | 3 | 3 cm | + | 0.34 | MLZ (intolerance) | + | 1 | 2 | 0.65 | + | - | 1 | 2 | 0.37 | + | - |