期刊
SOUTHERN MEDICAL JOURNAL
卷 98, 期 2, 页码 192-204出版社
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/01.SMJ.0000153119.37032.8B
关键词
biological therapy; IL-1 receptor antagonist; psoriatic arthritis; rheumatoid arthritis; TNF-alpha inhibitors
A new era in the treatment of immune-mediated inflammatory disorders has begun with the clinical availability of anticytokine therapy. Biological agents that are currently available include 3 agents that decrease the activity of tumor necrosis factor-alpha (infliximab, adalimumab, etanercept) and an interleukin-1 receptor antagonist (anakinra), with many more in development. Those extraordinarily effective medications are an important addition to our therapeutic armamentarium, and, although originally developed for rheumatoid arthritis and Crohn disease, have been found to be efficacious in the treatment of seronegative spondyloarthropathies (psoriatic arthritis, ankylosing spondylitis) and juvenile rheumatoid arthritis. Their role is currently being defined in other autoimmune disorders such as uveitis, sarcoidosis, interstitial lung disease, vasculitis, inflammatory myopathies, graft-versus-host disease, and Sjogren syndrome.
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