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Successful treatment of resistant pseudogout with anakinra.

Abstract
We describe herein the case of a 63-year-old man with pseudogout affecting multiple joints that was resistant to treatment with allopurinol, steroids, and antiinflammatory drugs. Based on recent data on the molecular mechanism of pseudogout that demonstrated overproduction of interleukin-1 (IL-1), we treated the patient with anakinra, an IL-1 receptor antagonist. The patient responded to treatment with anakinra within 2 weeks, with resolution of the signs and symptoms of pseudogout and normalization of levels of inflammation markers.
AuthorsDennis McGonagle, Ai Lyn Tan, Julie Madden, Paul Emery, Michael F McDermott
JournalArthritis and rheumatism (Arthritis Rheum) Vol. 58 Issue 2 Pg. 631-3 (Feb 2008) ISSN: 0004-3591 [Print] United States
PMID18240249 (Publication Type: Case Reports, Journal Article)
Chemical References
  • Antirheumatic Agents
  • Biomarkers
  • Interleukin 1 Receptor Antagonist Protein
Topics
  • Antirheumatic Agents (administration & dosage)
  • Biomarkers
  • Chondrocalcinosis (drug therapy, immunology, pathology)
  • Female
  • Humans
  • Interleukin 1 Receptor Antagonist Protein (administration & dosage)
  • Middle Aged

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