Adverse effect of TNF-alpha blocker? Demyelination in an ankylosing spondylitis patient: a case report

被引:15
作者
Cay, H. F. [1 ]
Gungor, H. A.
Sezer, I.
Kacar, C.
Balci, N.
机构
[1] Akdeniz Univ, Fac Med, Phys Med Rehabil & Rheumatol Dept, Antalya, Turkey
[2] Akdeniz Univ, Fac Med, Dept Neurol, Antalya, Turkey
关键词
ankylosing spondylitis; anti-tumour necrosis factor-alpha drugs; transverse myelitis;
D O I
10.1111/j.1365-2710.2006.00779.x
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
Anti-tumour necrosis factor (TNF)-alpha agents promise better disease control for treatment of inflammatory arthritides which are resistant to classical disease-modifying treatment and provide better functional outcome. But these agents are not free of adverse events. The exact relationship between use of anti-TNF drugs and development of demyelination cannot be established yet. Here we present a case of a 36-year-old man who developed demyelination in the cervical spinal cord while he was being treated with etanercept for ankylosing spondylitis.
引用
收藏
页码:645 / 648
页数:4
相关论文
共 18 条
[1]  
Al Saieg N, 2006, J RHEUMATOL, V33, P1202
[2]   TNF neutralization in MS - Results of a randomized, placebo-controlled multicenter study [J].
Arnason, BGW ;
Jacobs, G ;
Hanlon, M ;
Clay, BH ;
Noronha, ABC ;
Auty, A ;
Davis, B ;
Nath, A ;
Bouchard, JP ;
Belanger, C ;
Gosselin, F ;
Thibault, M ;
Duquette, P ;
Bourgoin, P ;
DuBois, R ;
Girard, M ;
Ebers, GC ;
Rice, GPA ;
Vandervoort, MK ;
Francis, GS ;
Duncan, L ;
Lapierre, Y ;
Freedman, MS ;
Christie, SN ;
Rabinovitch, HE ;
Patry, D ;
Murphy, WF ;
Peters, S ;
McGuiness, SD ;
Murray, TJ ;
Bhan, V ;
Maxner, CE ;
Van Dorpe, R ;
Oger, JJ ;
Nelson, J ;
Morrison, W ;
Bogle, N ;
Beall, S ;
Vorobeychick, G ;
Hiltbrunner, AV ;
Bock, J ;
Habil ;
Lesslauer, W ;
Li, DKB ;
Paty, DW ;
Zhao, GJ .
NEUROLOGY, 1999, 53 (03) :457-465
[3]   CNS demyelination during anti-tumor necrosis factor alpha therapy [J].
Bellesi, M ;
Logullo, F ;
Di Bella, P ;
Provinciali, L .
JOURNAL OF NEUROLOGY, 2006, 253 (05) :668-669
[4]   The differential diagnosis of acute transverse myelitis [J].
Brinar, VV ;
Habek, M ;
Brinar, M ;
Malojcic, B ;
Boban, M .
CLINICAL NEUROLOGY AND NEUROSURGERY, 2006, 108 (03) :278-283
[5]   HLA genotypes in Turkish patients with myasthenia gravis:: comparison with multiple sclerosis patients on the basis of clinical subtypes and demographic features [J].
Dönmez, B ;
Özakbas, S ;
Öktem, MA ;
Gedizlioglu, M ;
Coker, I ;
Genc, A ;
Idiman, E .
HUMAN IMMUNOLOGY, 2004, 65 (07) :752-757
[6]   Association of anti-tumor necrosis factor therapy with the development of multiple sclerosis [J].
Enayati, PJ ;
Papadakis, KA .
JOURNAL OF CLINICAL GASTROENTEROLOGY, 2005, 39 (04) :303-306
[7]   Discriminatory features of acute transverse myelitis: a retrospective analysis of 45 patients [J].
Harzheim, M ;
Schlegel, U ;
Urbach, H ;
Klockgether, T ;
Schmidt, S .
JOURNAL OF THE NEUROLOGICAL SCIENCES, 2004, 217 (02) :217-223
[8]  
Magnano MD, 2004, CLIN EXP RHEUMATOL, V22, pS134
[9]  
Miller FW, 2000, ARTHRITIS RHEUM, V43, P243, DOI 10.1002/1529-0131(200002)43:2<243::AID-ANR2>3.0.CO
[10]  
2-K