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Research ArticleArticle

Tocilizumab in Adult-onset Still’s Disease: the Israeli Experience

Ori Elkayam, Nizar Jiries, Zvi Dranitzki, Shay Kivity, Merav Lidar, Ofer Levy, Jacob Ablin, Mahmoud Abu-Shakra, Hagit Savargyl-Maman, Hagit Padova, Dan Caspi and Itzhak Rosner
The Journal of Rheumatology February 2014, 41 (2) 244-247; DOI: https://doi.org/10.3899/jrheum.130881
Ori Elkayam
From the Department of Rheumatology, Tel Aviv Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv; Department of Rheumatology, Bnai Zion Medical Center, Haifa; Department of Medicine, Hadassah-Hebrew University Medical Center, Jerusalem; Rheumatology Unit, The Chaim Sheba Medical Center, Tel Hashomer; Rheumatology Unit, Assaf Harofe Medical Center; Rheumatology Unit, Soroka Medical Center, Beer Sheva, Israel.
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  • For correspondence: oribe14@netvision.net.il
Nizar Jiries
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Zvi Dranitzki
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Shay Kivity
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Merav Lidar
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Ofer Levy
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Jacob Ablin
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Mahmoud Abu-Shakra
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Hagit Savargyl-Maman
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Hagit Padova
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Dan Caspi
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Itzhak Rosner
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    Table 1.

    Demographic and clinical characteristics of the 15 study patients with adult-onset Still’s disease treated with tocilizumab.

    Characteristicn (%) or Mean ± SD
    Men9 (60)
    Age, yrs33 ± 12
    Disease duration, yrs9 ± 11
    Arthralgias15 (100)
    Fever9 (60)
    Rash7 (46)
    Sore throat3 (20)
    Pleuritis3 (20)
    Mean prednisone dosage, mg/d27.6 ± 26.3
    DMARD, n (mean)3.6 (range 1–7)
    Previous treatment with ≥ 1 TNF-α blocker10 (66)
    • DMARD: disease-modifying antirheumatic drug; TNF: tumor necrosis factor.

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    Table 2.

    Effect of tocilizumab (TCZ) on clinical and laboratory measures of Still’s disease activity after 6 months of treatment and at the end of followup. Values are mean ± SD.

    Before TCZAfter 6 Months TCZEnd of Followup
    Tender joints, n11.6 ± 6.82 ± 1.8*1.4 ± 2.1*
    Swollen joints, n8.6 ± 5.41.09 ± 1.6*0.7 ± 1.5*
    Fever, n90*0*
    Prednisone dosage, mg/d27.6 ± 26.34.9 ± 4*3.8 ± 4.9*
    ESR, mm/h60 ± 283.9 ± 1.4*4.5 ± 1.9*
    CRP, mg/dl11.6 ± 150.5 ± 0.1*0.5 ± 0.5*
    • ↵* Statistically significant, p < 0.05. ESR: erythrocyte sedimentation rate; CRP: C-reactive protein.

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1 Feb 2014
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Tocilizumab in Adult-onset Still’s Disease: the Israeli Experience
Ori Elkayam, Nizar Jiries, Zvi Dranitzki, Shay Kivity, Merav Lidar, Ofer Levy, Jacob Ablin, Mahmoud Abu-Shakra, Hagit Savargyl-Maman, Hagit Padova, Dan Caspi, Itzhak Rosner
The Journal of Rheumatology Feb 2014, 41 (2) 244-247; DOI: 10.3899/jrheum.130881

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Tocilizumab in Adult-onset Still’s Disease: the Israeli Experience
Ori Elkayam, Nizar Jiries, Zvi Dranitzki, Shay Kivity, Merav Lidar, Ofer Levy, Jacob Ablin, Mahmoud Abu-Shakra, Hagit Savargyl-Maman, Hagit Padova, Dan Caspi, Itzhak Rosner
The Journal of Rheumatology Feb 2014, 41 (2) 244-247; DOI: 10.3899/jrheum.130881
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Keywords

ADULT-ONSET STILL’S DISEASE
BIOLOGICS
CYTOKINES
DISEASE-MODIFYING ANTIRHEUMATIC DRUGS
INFLAMMATION

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