Infliximab en el tratamiento de la enfermedad de Crohn: Estudio preliminar

Background: Tumor necrosis factor alpha, interleukin 6 and 1 have a pathogenic role in Crohn's disease. Infliximab, a monoclonal antibody against tumor necrosis factor, is useful in the treatment of Crohn's disease, specially when the disease is active and associated to fistula formation....

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Autores principales: Gellona V,José, Zarraonandia A,Antón, Zúñiga D,Alvaro, Palma C,Renato, Contreras P,Jaime, Silva Ch,Jaime, González D,Róbinson, Quintana V,Carlos
Lenguaje:Spanish / Castilian
Publicado: Sociedad Médica de Santiago 2006
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872006000300008
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spelling oai:scielo:S0034-988720060003000082006-05-02Infliximab en el tratamiento de la enfermedad de Crohn: Estudio preliminarGellona V,JoséZarraonandia A,AntónZúñiga D,AlvaroPalma C,RenatoContreras P,JaimeSilva Ch,JaimeGonzález D,RóbinsonQuintana V,Carlos Antibodies, monoclonal Crohn's disease Infliximab Tumor necrosis factor-alpha Background: Tumor necrosis factor alpha, interleukin 6 and 1 have a pathogenic role in Crohn's disease. Infliximab, a monoclonal antibody against tumor necrosis factor, is useful in the treatment of Crohn's disease, specially when the disease is active and associated to fistula formation. Aim: To assess the effectiveness of Infliximab in patients with Crohn's disease. Material and methods: Twelve patients with Crohn's disease (aged 16 to 63 years, 10 women) refractory to treatment with steroid, 5-aminosalicylic acid, antimicrobials and immunomodulatory drugs, were studied. A single intravenous 5 mg/kg dose Infliximab was administered. The Crohn's disease activity index (CDAI) was measured before and one week after the administration of the drug. Results: CDAI before and after Infliximab administration was 357±62 and 138±122 score points, respectively (p <0.005). According to this score, five patients had a severe and seven a moderate disease flare. The disease remitted in 7 (58%) and a clinical response was observed in 75%. Conclusions: A single dose of Infliximab was effective to induce remission of the disease in 75% of this selected group of patients with Crohn's diseaseinfo:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.134 n.3 20062006-03-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872006000300008es10.4067/S0034-98872006000300008
institution Scielo Chile
collection Scielo Chile
language Spanish / Castilian
topic Antibodies, monoclonal
Crohn's disease
Infliximab
Tumor necrosis factor-alpha
spellingShingle Antibodies, monoclonal
Crohn's disease
Infliximab
Tumor necrosis factor-alpha
Gellona V,José
Zarraonandia A,Antón
Zúñiga D,Alvaro
Palma C,Renato
Contreras P,Jaime
Silva Ch,Jaime
González D,Róbinson
Quintana V,Carlos
Infliximab en el tratamiento de la enfermedad de Crohn: Estudio preliminar
description Background: Tumor necrosis factor alpha, interleukin 6 and 1 have a pathogenic role in Crohn's disease. Infliximab, a monoclonal antibody against tumor necrosis factor, is useful in the treatment of Crohn's disease, specially when the disease is active and associated to fistula formation. Aim: To assess the effectiveness of Infliximab in patients with Crohn's disease. Material and methods: Twelve patients with Crohn's disease (aged 16 to 63 years, 10 women) refractory to treatment with steroid, 5-aminosalicylic acid, antimicrobials and immunomodulatory drugs, were studied. A single intravenous 5 mg/kg dose Infliximab was administered. The Crohn's disease activity index (CDAI) was measured before and one week after the administration of the drug. Results: CDAI before and after Infliximab administration was 357±62 and 138±122 score points, respectively (p <0.005). According to this score, five patients had a severe and seven a moderate disease flare. The disease remitted in 7 (58%) and a clinical response was observed in 75%. Conclusions: A single dose of Infliximab was effective to induce remission of the disease in 75% of this selected group of patients with Crohn's disease
author Gellona V,José
Zarraonandia A,Antón
Zúñiga D,Alvaro
Palma C,Renato
Contreras P,Jaime
Silva Ch,Jaime
González D,Róbinson
Quintana V,Carlos
author_facet Gellona V,José
Zarraonandia A,Antón
Zúñiga D,Alvaro
Palma C,Renato
Contreras P,Jaime
Silva Ch,Jaime
González D,Róbinson
Quintana V,Carlos
author_sort Gellona V,José
title Infliximab en el tratamiento de la enfermedad de Crohn: Estudio preliminar
title_short Infliximab en el tratamiento de la enfermedad de Crohn: Estudio preliminar
title_full Infliximab en el tratamiento de la enfermedad de Crohn: Estudio preliminar
title_fullStr Infliximab en el tratamiento de la enfermedad de Crohn: Estudio preliminar
title_full_unstemmed Infliximab en el tratamiento de la enfermedad de Crohn: Estudio preliminar
title_sort infliximab en el tratamiento de la enfermedad de crohn: estudio preliminar
publisher Sociedad Médica de Santiago
publishDate 2006
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872006000300008
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