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Rheumatology International

, Volume 39, Issue 6, pp 1107–1112 | Cite as

Adalimumab in the treatment of pediatric Behçet’s disease: case-based review

  • Dimitri PoddigheEmail author
  • Zaure Mukusheva
  • Kaisar Dauyey
  • Maikesh Assylbekova
Cases with a Message
  • 79 Downloads

Abstract

Behçet’s disease (BD) is a systemic vasculitis affecting prominently the veins, which is usually diagnosed in adulthood, but can occur in children younger than 16 years in about 4–26% of cases. The therapy is based on several immune-suppressive drugs; in case of inadequate control and/or complications, the biologic therapy with anti-TNF drugs has been successfully used in adults. Here, we reported one pediatric case of BD with systemic (persistent/recurrent high fever), skin and mucosal manifestations (recurrent aphthous stomatitis, anal/penile ulcers, erythema nodosum and papulo-pustules), that were unresponsive to the conventional treatment with steroids and colchicine; however, he was successfully treated with adalimumab. Compared to adult patients, the experience with adalimumab in the treatment of pediatric BD is very limited. Indeed, through a systematic search in the medical literature, we retrieved 4 case reports and 2 case series, describing BD pediatric patients treated with adalimumab, in addition to three clinical studies including some BD children. The analysis and discussion of these available clinical experiences may indicate adalimumab as an effective and safe option to treat several forms of BD, in addition to BD-related chronic uveitis.

Keywords

Behçet’s disease Adalimumab Pediatric rheumatology 

Notes

Author contributions

DP conceived and wrote the article, and provided contribution to the clinical management; ZM and MA cooperated in the clinical management and provided important intellectual contributions; KD cooperated in the literature search and patient’s management.

Compliance with ethical standards

Conflict of interest

The authors have no conflict of interest to declare.

Informed consent

The guardian and the patient provided informed written consent for this publication.

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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of Medicine, School of MedicineNazarbayev UniversityAstanaKazakhstan
  2. 2.Department of Pediatric Rheumatology, National Research Center of Mother and Child HealthUniversity Medical CenterAstanaKazakhstan

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