Successful switching to adalimumab in an infliximab-allergic patient with severe Behçet disease-related uveitis.

Abstract

Infliximab has demonstrated remarkable effects on controlling uveitis in patients with Behçet's disease (BD). However, there is no way except for discontinuation of infliximab treatment in patients who are intolerant to the agent due to hypersensitivity reactions. We here report successful switching from infliximab to adalimumab in a BD patient. Treatment with infliximab had maintained clinical remission in the patient having refractory ocular lesions to cyclosporine until the patient had experienced repeated infliximab-related infusion reactions. Discontinuation of the therapy led to another ocular attacks immediately. Switching to adalimumab induced clinical remission again. Our experience suggest adalimumab is a safe and effective option for patients having hypersensitivity to infliximab.

• Authors: Kaoru Takase, Shigeru Ohno, Haruko Ideguchi, Eiichi Uchio, Mitsuhiro Takeno, Yoshiaki Ishigatsubo
• Journal: Rheumatology international (Rheumatol Int) Vol. 31 Issue 2 Pg. 243-5 (Feb 2011) ISSN: 1437-160X [Electronic] Germany
• PMID: 19816689 (Publication Type: Case Reports, Journal Article)

Chemical References

• Antibodies, Monoclonal
• Antibodies, Monoclonal, Humanized
• Antirheumatic Agents
• Infliximab
• Adalimumab

Topics

• Adalimumab
• Adult
• Antibodies, Monoclonal (adverse effects, therapeutic use)
• Antibodies, Monoclonal, Humanized
• Antirheumatic Agents (adverse effects, therapeutic use)
• Behcet Syndrome (drug therapy)
• Drug Hypersensitivity (drug therapy)
• Female
• Humans
• Infliximab
• Severity of Illness Index
• Treatment Outcome