Review of Biologics in Children With Rheumatic Diseases

Shabina Habibi; Athimalaipet V Ramanan

Disclosures

Int J Clin Rheumatol. 2012;7(1):81-93. 

In This Article

Anti-TNF-α Therapy

In a series on seven patients with TRAPS, all having active disease and either not responding to or requiring high doses of corticosteroids, etanercept was given at a dose of 25 mg subcutaneously twice weekly for 24 weeks.[60] Clinical activity as assessed by pain and overall well-being improved, and CRP levels decreased in five patients during follow-up. However one patient required a subsequent course after a 3-month washout period. This study demonstrated the short-term efficacy of etanercept in TRAPS. Etanercept has also demonstrated efficacy in the treatment of nephrotic syndrome and amyloidosis associated with TRAPS in case reports.[61,62] However case reports have also documented failure of anti-TNF-α therapy, especially infliximab, which may be complicated by a severe paradoxical inflammatory reaction.[63–66]

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