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Journal of Korean Medical Science ; : 1364-1367, 2010.
Artículo en Inglés | WPRIM | ID: wpr-187904

RESUMEN

This report presents the case of a patient demonstrating multicentric Castleman's disease (MCD) with a lung lesion that was successfully treated with an anti-interleukin-6 receptor antibody, tocilizumab in combination with corticosteroid and tacrolimus. A 43-yr-old female with abnormal shadows on a chest X-ray was referred to the hospital for further examination. She was diagnosed as having MCD based on the characteristic pathology of inguinal lymph node, lung lesions, laboratory data, and undifferentiated arthritis. Corticosteroid and rituximab therapy did not fully ameliorate the symptoms; thus, the therapeutic regimen was changed to include tocilizumab, oral corticosteroid and tacrolimus. This regimen resulted in clinical remission and the dose of tocilizumab and corticosteroid could be tapered. Tocilizumab in combination with corticosteroid and tacrolimus may therefore be a beneficial treatment regimen for lung lesions associated with MCD.


Asunto(s)
Adulto , Femenino , Humanos , Corticoesteroides/uso terapéutico , Anticuerpos Monoclonales/uso terapéutico , Quimioterapia Combinada , Enfermedad de Castleman/diagnóstico , Inmunosupresores/uso terapéutico , Enfermedades Pulmonares Intersticiales/tratamiento farmacológico , Ganglios Linfáticos/patología , Receptores de Interleucina-6/antagonistas & inhibidores , Tacrolimus/uso terapéutico , Tomografía Computarizada por Rayos X
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