Title |
Development of sarcoidosis in etanercept-treated rheumatoid arthritis patients
|
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Published in |
Clinical Rheumatology, March 2007
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DOI | 10.1007/s10067-007-0594-1 |
Pubmed ID | |
Authors |
Kilian Verschueren, Els Van Essche, Patrick Verschueren, Veerle Taelman, Rene Westhovens |
Abstract |
We report two rheumatoid arthritis patients developing sarcoidosis possibly induced by etanercept. Both women, aged 46 and 53, had erosive, rheumatoid-factor-positive rheumatoid arthritis (RA) for 7 and 6 years, respectively. The eldest had received infliximab for over a year with good response, which was stopped because of a perfusion reaction. She developed a cough and dyspnea after 6 months of etanercept treatment. The other developed erythema nodosum and a plaque lesion on the right arm after 1 year of etanercept. Imaging showed, in both cases, mediastinal adenopathies. Biopsies were compatible with sarcoidosis. Etanercept withdrawal led to a complete remission. Recently, there have been reports of noninfectious granulomatous syndromes in patients receiving etanercept for a variety of diseases. In our cases, the temporal association with etanercept therapy and the complete remission after suspension of etanercept suggest a triggering role of this agent. Possible mechanisms of action and supporting evidence are discussed. |
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Professor | 3 | 13% |
Other | 3 | 13% |
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Unknown | 5 | 21% |
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Agricultural and Biological Sciences | 1 | 4% |
Other | 0 | 0% |
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