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Table 1 Overview of published PAN patients treated with tocilizumab

From: A young girl with severe polyarteritis nodosa successfully treated with tocilizumab: a case report

Reference

Age/Sex

Symptoms

CRP (mg/l)

Previous treatment

TCZ treatment

Outcome

Inoue [8]

8y/F

cPAN, fever, nodules, arthritis

100

GC, AZA, cyclo, MMF, tacrolimus, IVIG, anti-TNF

TCZ 8 mg/kg q2 wks IV

GC stopped

Remission (FU 7 mo)

Watanabe [9]

3y/M

Fever, periostitis, arthritis, myositis, epididymo-orchitis

200

GC, IVIG, IFX

TCZ 10 mg/kg q4 wks + CYC

GC tapering

Improvement (FU 6 mo)

Krusche [10]

23y/M

Livedo racemosa, myalgias, fever, weight loss, sensorimotor polyneuropathy, sc nodules

291

GC, MTX, RTX, CYC, ANR, IVIG

TCZ 8 mg/kg q4 wks IV + IVIG + GC, later TCZ 10 mg/kg q4 wks IV

Low dose GC

Remission (FU 37mo)

Krusche [10]

24y/M

Myalgias, fever, weight loss, arthritis, sc nodules, drop hand, abdominal and flank pain, aHT, increased creatinine (1.3 mg/dl)

298

GC, IVIG, CYC

TCZ 8 mg/kg q4 wks IV + urbasone IV, later TCZ 162 mg weekly SC

Low dose GC

Remission (FU 11mo)

Krusche [10]

63y/F

Myalgias, fever, fatigue, weight loss

174

GC

TCZ 162 mg weekly SC + GC, later TCZ 162 mg weekly SC

Low dose GC

Remission (FU 6mo)

Krusche [10]

70y/F

Myalgias, arthritis, livedo racemosa, sensorimotor polyneuropathy

93

GC, MTX

TCZ 8 mg/kg q4 wks IV + GC, later TCZ 8 mg/kg q4 wks IV

Low dose GC

Mild livedo racemosa, otherwise asymptomatic (FU 13mo)

Saunier [11]

39y/F

Necrotic purpura, myalgia, weight loss

59–126

GC, MTX, MMF, CYC, IFX, AZA

TCZ 8 mg/kg q4 wks IV

Low dose GC

Remission (FU 12mo)

Saunier [11]

52y/F

Necrotic purpura, livedo, ulcerations, myalgia, arthritis, neuropathy, weight loss

 

GC, DAP, COL, MTX, CYC, AZA

TCZ 8 mg/kg q4 wks IV

Low dose GC

Remission (FU 12mo)

Saunier [11]

35y/M

Arthritis, myalgia, tenosynovitis, nodules, weight loss

393

GC, IVIG

TCZ 8 mg/kg q4 wks IV

GC stopped

Remission (FU 10mo)

Hocevar [12]

33y/M

Ulcers, aHT, myalgia, weight loss, nodules

169

GC, CYC

TCZ 8 mg/kg q4 wks IV

GC tapering

Improvement (FU 50mo)

Bodoki [13]

67y/M

Fatigue, weight loss, myalgia, arthralgia, polyneuropathy

20

GC, CYC

TCZ 162 mg weekly IV

Low dose GC

Remission (FU 12mo)

  1. aHT Arterial hypertension. ANR Anakinra. AZA Azathioprine. COL Colchicine. cPAN Cutaneous polyarteritis nodosa. CYC Cyclophosphamide. Cyclo Cyclosporine. DAP Dapsone. F Female. FU Follow-up. GC Glucocorticoids. IFX Infliximab. IV Intravenous. IVIG Intravenous immunoglobulins. M Male. MMF Mycophenolate mofetil. MTX Methotrexate. RTX Rituximab. SC Subcutaneous. TCZ Tocilizumab. Q4 weekly every 4 weeks. Y Years