Efficacy of Abatacept Therapy in a Patient with Juvenile Idiopathic Arthritis and Bilateral Uveitis

The article presents clinical observation of the patient at the age of 7 years suffering from severe juvenile idiopathic arthritis with uveitis refractory to standard antirheumatic therapy. The case complexity was determined by multiple joint damages, presence of bilateral uveitis, and hyperimmunogl...

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Main Authors: Lelia A. Galstian, Elena S. Zholobova, Alexandra V. Starikova, Ekaterina V. Denisova
Format: Article
Language:English
Published: "Paediatrician" Publishers LLC 2016-08-01
Series:Вопросы современной педиатрии
Subjects:
Online Access:https://vsp.spr-journal.ru/jour/article/view/1644
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author Lelia A. Galstian
Elena S. Zholobova
Alexandra V. Starikova
Ekaterina V. Denisova
author_facet Lelia A. Galstian
Elena S. Zholobova
Alexandra V. Starikova
Ekaterina V. Denisova
author_sort Lelia A. Galstian
collection DOAJ
description The article presents clinical observation of the patient at the age of 7 years suffering from severe juvenile idiopathic arthritis with uveitis refractory to standard antirheumatic therapy. The case complexity was determined by multiple joint damages, presence of bilateral uveitis, and hyperimmunoglobulinemia at the disease onset. The successful use of abatacept is described: remission from both the articular syndrome and uveitis, a 100% improvement by ACRpedi criteria are reached. The selection of a biological preparation was determined by a polyarticular joint disease, by the presence of active recurrent uveitis, as well as by immune status compromise for TB infection. A gradual increase in abatacept efficacy and remission maintenance for a long time period are demonstrated.
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language English
publishDate 2016-08-01
publisher "Paediatrician" Publishers LLC
record_format Article
series Вопросы современной педиатрии
spelling doaj-art-aadcde36e8524cb3b14e436be6ff817c2025-08-04T13:09:38Zeng"Paediatrician" Publishers LLCВопросы современной педиатрии1682-55271682-55352016-08-0115330731010.15690/vsp.v15i3.15691606Efficacy of Abatacept Therapy in a Patient with Juvenile Idiopathic Arthritis and Bilateral UveitisLelia A. Galstian0Elena S. Zholobova1Alexandra V. Starikova2Ekaterina V. Denisova3Children’s Clinical University Hospital of I.M. Sechenov First Moscow State Medical University, Moscow, Russian FederationChildren’s Clinical University Hospital of I.M. Sechenov First Moscow State Medical University, Moscow, Russian FederationMoscow Helmholtz Research Institute of Eye Diseases, Moscow, Russian FederationMoscow Helmholtz Research Institute of Eye Diseases, Moscow, Russian FederationThe article presents clinical observation of the patient at the age of 7 years suffering from severe juvenile idiopathic arthritis with uveitis refractory to standard antirheumatic therapy. The case complexity was determined by multiple joint damages, presence of bilateral uveitis, and hyperimmunoglobulinemia at the disease onset. The successful use of abatacept is described: remission from both the articular syndrome and uveitis, a 100% improvement by ACRpedi criteria are reached. The selection of a biological preparation was determined by a polyarticular joint disease, by the presence of active recurrent uveitis, as well as by immune status compromise for TB infection. A gradual increase in abatacept efficacy and remission maintenance for a long time period are demonstrated.https://vsp.spr-journal.ru/jour/article/view/1644childrenjuvenile idiopathic arthritisuveitisabatacept
spellingShingle Lelia A. Galstian
Elena S. Zholobova
Alexandra V. Starikova
Ekaterina V. Denisova
Efficacy of Abatacept Therapy in a Patient with Juvenile Idiopathic Arthritis and Bilateral Uveitis
Вопросы современной педиатрии
children
juvenile idiopathic arthritis
uveitis
abatacept
title Efficacy of Abatacept Therapy in a Patient with Juvenile Idiopathic Arthritis and Bilateral Uveitis
title_full Efficacy of Abatacept Therapy in a Patient with Juvenile Idiopathic Arthritis and Bilateral Uveitis
title_fullStr Efficacy of Abatacept Therapy in a Patient with Juvenile Idiopathic Arthritis and Bilateral Uveitis
title_full_unstemmed Efficacy of Abatacept Therapy in a Patient with Juvenile Idiopathic Arthritis and Bilateral Uveitis
title_short Efficacy of Abatacept Therapy in a Patient with Juvenile Idiopathic Arthritis and Bilateral Uveitis
title_sort efficacy of abatacept therapy in a patient with juvenile idiopathic arthritis and bilateral uveitis
topic children
juvenile idiopathic arthritis
uveitis
abatacept
url https://vsp.spr-journal.ru/jour/article/view/1644
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AT elenaszholobova efficacyofabatacepttherapyinapatientwithjuvenileidiopathicarthritisandbilateraluveitis
AT alexandravstarikova efficacyofabatacepttherapyinapatientwithjuvenileidiopathicarthritisandbilateraluveitis
AT ekaterinavdenisova efficacyofabatacepttherapyinapatientwithjuvenileidiopathicarthritisandbilateraluveitis