Author/Editor     Kačar, Mark; Fitton, John; Gough, Andrew K; Buch, Maya H; McGonagle, Dennis; Savic, Sinisa
Title     Mixed results with baricitinib in biological-resistant adult-onset Still's disease and undifferentiated systemic autoinflammatory disease
Type     članek
Vol. and No.     Letnik 6, št. 2
Publication year     2020
Volume     str. 1-5
ISSN     2056-5933 - RMD open
Language     eng
Abstract     This clinical case series describes our experience with the use of Janus kinase 1/2 inhibitor baricitinib in two patients suffering from refractory adult-onset Still's disease (AOSD) as well as in one case suffering from AOSD-like autoinflammatory disease in the context of myelodysplastic syndrome. All patients suffered from disease nonresponsive to conventional Disease-modifying antirheumatic drugs (DMARDs) as well as biological therapies including interleukin (IL)-1 and IL-6 blockade, relying instead on high daily doses of prednisolone. We also report the first case of Pneumocystis jirovecii infection following baricitinib use.
Descriptors     Still's disease, adult onset
Spondylitis, ankylosing
Arthritis
Antirheumatic agents
Stillova bolezen s pričetkom v odrasli dobi
Ankilozirajoči spondilitis
Artritis
Antirevmatična sredstva
Drug therapy
Zdravljenje z zdravili
Keywords     undifferentiated systemic autoinflammatory disease
disease-modifying antirheumatic drugs
nediferencirana sistemska avtovnetna bolezen
imunomodulirajoči antirevmatiki