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10.1136/rmdopen-2015-000162

http://scihub22266oqcxt.onion/10.1136/rmdopen-2015-000162
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C4663453!4663453!26635968
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suck abstract from ncbi


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pmid26635968      RMD+Open 2015 ; 1 (1): ä
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  • Tocilizumab is effective against polymyalgia rheumatica: experience in 13 intractable cases #MMPMID26635968
  • Izumi K; Kuda H; Ushikubo M; Kuwana M; Takeuchi T; Oshima H
  • RMD Open 2015[]; 1 (1): ä PMID26635968show ga
  • Polymyalgia rheumatica (PMR) affects older people, and although glucocorticoids are effective in treating PMR, they frequently result in side effects. Therefore, we conducted a retrospective study to assess the effectiveness and safety of tocilizumab as an alternative to glucocorticoids. We included 13 consecutive patients with PMR (11 women and 2 men; median age, 74?years) diagnosed according to Bird's criteria and the 2012 European League Against Rheumatism/American College of Rheumatology provisional classification criteria. All patients received tocilizumab infusion (8?mg/kg every 4?weeks) at our institutions, between 2008 and 2014, because of PMR relapses (n=12) or insufficient response to initial prednisolone treatment (n=1), without increasing prednisolone dosage. Seven patients were on methotrexate, and all had one or more glucocorticoid-related comorbidities. Administration of tocilizumab significantly improved inflammation and PMR symptoms such as morning stiffness, as well as the Patient-Pain and Patient-Global Assessment visual analogue scales (p<0.05). Proximal muscle pain disappeared within 8?weeks, on average, and the Health Assessment Questionnaire-Disability Index scores (p=0.098) and concomitant prednisolone doses (p<0.05) decreased at 12?weeks. Severe adverse events were not observed during the mean tocilizumab treatment period of 43.4?weeks. Our findings suggest that tocilizumab is effective and safe for PMR treatment.
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