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Table 3 Summary the treatment of tocilizumab for TRAPS

From: Tocilizumab for treating mevalonate kinase deficiency and TNF receptor-associated periodic syndrome: a case series and literature review

case

1

2

3

4

Ancestry

ND

ND

ND

ND

Age

52Y

49Y

30Y

6Y

Gender

M

M

F

M

Onset of symptoms

5Y

ND

7Y

4Y

Gene mutation

C33Y

R92Q

no identified variant

C96R

Clinical phenotype

recurrent fevers, myalgia, rash, abdominal pains, joint pains, and lymphadenopathy

fever, recurrent annular erythematous plaques, conjunctivitis

high fever, nausea, rashes, migratory myalgia, joint pain

fever, arthritis, skin rash, vomiting, diarrhea, unilateral periorbital edema

Treatment prior to TCZ

corticosteroids, etanercept, anakinra

methotrexate, salazopyrin, hydroxychloroquine, infliximab, etanercept

prednisolone, etanercept, colchicine,

indomethacin, ibuprofen, hydroxychlorochine, cyclosporine A, methotrexate, infliximab

TCZ dose (mg/kg) and route of administration

8 IV

8 IV

8 IV

8 IV

Frequency of administration (weeks)

4

4

every 2 weeks then PRN

4

Duration of treatment (months)

6months

6months

26months

42months

Adverse events

Trombocytopenia

ND

ND

ND

Outcome Clinical

CR

CR

CR

CR

Reference

Vaitla et al. (2011) [23]

Akasbi et al.(2015) [24]

Hosoya et al. (2015) [25]

Torre et al. (2015) [26]

  1. F, female;Het, heterozygous; M, male;ND, not described;Y, years. CR: complete response; PR: partial response; TCZ: tocilizumab