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Severe systemic inflammatory response syndrome in a patient with adult onset Still's disease treated with the anti-IL1 drug anakinra: a case report.

AbstractInterleukin 1 (IL1) plays an important role in adult onset Still's disease. Anakinra (Kineret), a recombinant IL1 Receptor Antagonist (IL 1 RA) was therefore recently proposed in adult onset Still's disease with great efficacy. Anakinra appeared to be well tolerated and safe. The case of a patient with refractory adult onset Still's disease who experienced a Systemic Inflammatory Response Syndrome and Adult Respiratory Distress Syndrome requiring intensive care unit hospitalization 10 days after the introduction of anakinra is reported.
AuthorsS Guignard, G Dien, M Dougados (Affiliation: Paris 5 Medicine Faculty, Cochin Hospital, Rheumatology B Department, Paris, France. sandra.guignard at free.fr)
JournalClinical and experimental rheumatology (Clin Exp Rheumatol) 2007 Sep-Oct Vol. 25 Issue 5 Pg. 758-9 ISSN: 0392-856X Italy
PMID18078628 (Publication Type: Case Reports, Journal Article)
Chemical References
  • Antirheumatic Agents
  • Interleukin 1 Receptor Antagonist Protein
  • Interleukin-1
Topics
  • Adult
  • Antirheumatic Agents (adverse effects, therapeutic use)
  • Humans
  • Interleukin 1 Receptor Antagonist Protein (adverse effects, therapeutic use)
  • Interleukin-1 (antagonists & inhibitors, physiology)
  • Male
  • Respiratory Distress Syndrome, Adult (chemically induced)
  • Still's Disease, Adult-Onset (drug therapy, physiopathology)
  • Systemic Inflammatory Response Syndrome (chemically induced, diagnosis)