Yıl: 2023 Cilt: 65 Sayı: 1 Sayfa Aralığı: 165 - 169 Metin Dili: İngilizce DOI: 10.24953/turkjped.2021.4573 İndeks Tarihi: 16-05-2023

Chronic inflammatory demyelinating neuropathy after etanercept therapy in the course of juvenile idiopathic arthritis

Öz:
Background. Chronic inflammatory demyelinating neuropathy has been reported after the use of tumor necrosis factor inhibitors. The mechanisms of nerve injury caused by tumor necrosis factor inhibitors are not yet well understood. Case. In this paper, we report a 12 year and nine month old girl who developed chronic inflammatory demyelinating neuropathy in the course of juvenile idiopathic arthritis after etanercept withdrawal. She became non-ambulant with four-limb involvement. She received intravenous immunoglobulins, steroids, and plasma exchange, but had a limited response. Finally, rituximab was given and a slow, but progressive clinical improvement was seen. She was ambulant four months after rituximab treatment. We considered chronic inflammatory demyelinating neuropathy as a probable adverse effect of etanercept. Conclusions. Tumor necrosis factor inhibitors could elicit the demyelinating process, and chronic inflammatory demyelinating neuropathy might persist despite treatment discontinuation. First-line immunotherapy may be inefficient as in our case, and aggressive treatment may be necessary.
Anahtar Kelime: tumor necrosis factor inhibitors etanercept chronic inflammatory demyelinating neuropathy adverse drug reaction

Belge Türü: Makale Makale Türü: Olgu Sunumu Erişim Türü: Erişime Açık
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APA Maraş Genç H, Kutlubay B, SURMELI R, sozen h, sozeri b (2023). Chronic inflammatory demyelinating neuropathy after etanercept therapy in the course of juvenile idiopathic arthritis. , 165 - 169. 10.24953/turkjped.2021.4573
Chicago Maraş Genç Hülya,Kutlubay Büşra,SURMELI Reyhan,sozen hatice gulhan,sozeri betul Chronic inflammatory demyelinating neuropathy after etanercept therapy in the course of juvenile idiopathic arthritis. (2023): 165 - 169. 10.24953/turkjped.2021.4573
MLA Maraş Genç Hülya,Kutlubay Büşra,SURMELI Reyhan,sozen hatice gulhan,sozeri betul Chronic inflammatory demyelinating neuropathy after etanercept therapy in the course of juvenile idiopathic arthritis. , 2023, ss.165 - 169. 10.24953/turkjped.2021.4573
AMA Maraş Genç H,Kutlubay B,SURMELI R,sozen h,sozeri b Chronic inflammatory demyelinating neuropathy after etanercept therapy in the course of juvenile idiopathic arthritis. . 2023; 165 - 169. 10.24953/turkjped.2021.4573
Vancouver Maraş Genç H,Kutlubay B,SURMELI R,sozen h,sozeri b Chronic inflammatory demyelinating neuropathy after etanercept therapy in the course of juvenile idiopathic arthritis. . 2023; 165 - 169. 10.24953/turkjped.2021.4573
IEEE Maraş Genç H,Kutlubay B,SURMELI R,sozen h,sozeri b "Chronic inflammatory demyelinating neuropathy after etanercept therapy in the course of juvenile idiopathic arthritis." , ss.165 - 169, 2023. 10.24953/turkjped.2021.4573
ISNAD Maraş Genç, Hülya vd. "Chronic inflammatory demyelinating neuropathy after etanercept therapy in the course of juvenile idiopathic arthritis". (2023), 165-169. https://doi.org/10.24953/turkjped.2021.4573
APA Maraş Genç H, Kutlubay B, SURMELI R, sozen h, sozeri b (2023). Chronic inflammatory demyelinating neuropathy after etanercept therapy in the course of juvenile idiopathic arthritis. Turkish Journal of Pediatrics, 65(1), 165 - 169. 10.24953/turkjped.2021.4573
Chicago Maraş Genç Hülya,Kutlubay Büşra,SURMELI Reyhan,sozen hatice gulhan,sozeri betul Chronic inflammatory demyelinating neuropathy after etanercept therapy in the course of juvenile idiopathic arthritis. Turkish Journal of Pediatrics 65, no.1 (2023): 165 - 169. 10.24953/turkjped.2021.4573
MLA Maraş Genç Hülya,Kutlubay Büşra,SURMELI Reyhan,sozen hatice gulhan,sozeri betul Chronic inflammatory demyelinating neuropathy after etanercept therapy in the course of juvenile idiopathic arthritis. Turkish Journal of Pediatrics, vol.65, no.1, 2023, ss.165 - 169. 10.24953/turkjped.2021.4573
AMA Maraş Genç H,Kutlubay B,SURMELI R,sozen h,sozeri b Chronic inflammatory demyelinating neuropathy after etanercept therapy in the course of juvenile idiopathic arthritis. Turkish Journal of Pediatrics. 2023; 65(1): 165 - 169. 10.24953/turkjped.2021.4573
Vancouver Maraş Genç H,Kutlubay B,SURMELI R,sozen h,sozeri b Chronic inflammatory demyelinating neuropathy after etanercept therapy in the course of juvenile idiopathic arthritis. Turkish Journal of Pediatrics. 2023; 65(1): 165 - 169. 10.24953/turkjped.2021.4573
IEEE Maraş Genç H,Kutlubay B,SURMELI R,sozen h,sozeri b "Chronic inflammatory demyelinating neuropathy after etanercept therapy in the course of juvenile idiopathic arthritis." Turkish Journal of Pediatrics, 65, ss.165 - 169, 2023. 10.24953/turkjped.2021.4573
ISNAD Maraş Genç, Hülya vd. "Chronic inflammatory demyelinating neuropathy after etanercept therapy in the course of juvenile idiopathic arthritis". Turkish Journal of Pediatrics 65/1 (2023), 165-169. https://doi.org/10.24953/turkjped.2021.4573