Title |
A young girl with severe polyarteritis nodosa successfully treated with tocilizumab: a case report
|
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Published in |
Pediatric Rheumatology, December 2021
|
DOI | 10.1186/s12969-021-00654-7 |
Pubmed ID | |
Authors |
Margaux Boistault, Mireia Lopez Corbeto, Pierre Quartier, Laura Berbel Arcobé, Ariadna Carsi Durall, Florence A. Aeschlimann |
Abstract |
Childhood Polyarteritis nodosa (PAN) is a systemic vasculitis with necrotizing inflammation of medium- and small-sized arteries. Disease evolution may be severe and refractory to standard treatment including prednisone, azathioprine and cyclophosphamide. We present the case of a young girl with severe PAN resulting in progressive ischemia and necrosis of fingers and toes. Biological work-up revealed increased acute phase reactants and interleukin-6 levels. She was only partially controlled despite high-dose corticosteroids and cyclophosphamide infusions, and eventually achieved rapid improvement and sustained remission on tocilizumab. Further, we review the current evidence of the interleukin-6-inhibitor tocilizumab for the treatment of PAN. Tocilizumab may be an efficient therapeutic option in a subset of treatment-refractory children with PAN. |
X Demographics
Geographical breakdown
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Spain | 1 | 50% |
United States | 1 | 50% |
Demographic breakdown
Type | Count | As % |
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Practitioners (doctors, other healthcare professionals) | 1 | 50% |
Members of the public | 1 | 50% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Unknown | 11 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
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Student > Postgraduate | 2 | 18% |
Other | 2 | 18% |
Librarian | 1 | 9% |
Unspecified | 1 | 9% |
Student > Doctoral Student | 1 | 9% |
Other | 0 | 0% |
Unknown | 4 | 36% |
Readers by discipline | Count | As % |
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Medicine and Dentistry | 5 | 45% |
Unspecified | 1 | 9% |
Unknown | 5 | 45% |