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Clinical Rheumatology

, Volume 30, Issue 7, pp 1007–1012 | Cite as

Infliximab for patients with neuro-Behcet's disease: case series and literature review

  • Afshin Borhani HaghighiEmail author
  • Anahid Safari
  • Mohammad Ali Nazarinia
  • Zahra Habibagahi
  • Saeedeh Shenavandeh
Case Based Review

Abstract

This study aims to report the therapeutic effects of anti-tumor necrotic factor antibody, infliximab, for treatment of neuro-Behcet's disease (NBD) and to review the literature. We described four patients (all male, median age 40 years old) who fulfilled the International Study Group criteria for Behcet's disease (BD) and presented with neurological complication. Demographic and clinical characteristics of the patients, dose, therapeutic effects, and adverse drug reaction (ADR) of infliximab were reported. Two patients had secondary progressive, one relapsing progressive, and one primary progressive course (median duration of BD and NBD 11 and 2 years, respectively). Two patients each received infliximab with 3 and 5 mg/kg infusions, respectively. The patients received infliximab for median of 22 weeks. Clinical responses were unsatisfactory for two patients on 3 mg/kg regimen; and good in two patients on 5 mg/kg and monthly intravenous 500–1,000 mg cyclophosphamide. Varicella zoster infection was seen as a major ADR in one patient. Our results with infliximab were not as promising as the previous reports. Infliximab, 5 mg/kg per dose with adjuvant immunosuppressive therapy, is probably more effective than other regimens.

Keywords

Anti-tumor necrotic factor antibody Behcet syndrome Behcet's disease Infliximab Neuro-Behcet's disease 

Abbreviations

TNF

Tumor necrotic factor

CSF

Cerebrospinal fluid

INFX

Infliximab

COL

Colchicines

Cs

Corticosteroids

AZT

Azathioprine

CTX

Cyclophosphamide

CsA

Cyclosporine A

PDSN

Prednisolone

MTX

Methotrexate

IVMP

Intravenous methylprednisolone

Notes

Disclosures

None

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Copyright information

© Clinical Rheumatology 2011

Authors and Affiliations

  • Afshin Borhani Haghighi
    • 1
    • 2
    • 3
    Email author
  • Anahid Safari
    • 4
  • Mohammad Ali Nazarinia
    • 5
  • Zahra Habibagahi
    • 5
  • Saeedeh Shenavandeh
    • 5
  1. 1.Transgenic Technology Research CenterShiraz University of Medical SciencesShirazIran
  2. 2.Departments of NeurologyShiraz University of Medical SciencesShirazIran
  3. 3.Department of Neurology and PsychiatrySaint Louis UniversitySaint LouisUSA
  4. 4.Research Center for Traditional Medicine and History of MedicineShiraz University of Medical SciencesShirazIran
  5. 5.Division of Rheumatology, Departments of Internal MedicineShiraz University of Medical SciencesShirazIran

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