Efficacy of infliximab for induction and maintenance of remission in intestinal Behçet's disease

Makoto Naganuma, Atsushi Sakuraba, Tadakazu Hisamatsu, Hiroki Ochiai, Hirotoshi Hasegawa, Haruhiko Ogata, Yasushi Iwao, Toshifumi Hibi

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62 Citations (Scopus)

Abstract

Background: Intestinal Behçet disease (BD) is characterized by intestinal inflammation with round and oval ulcers associated with gastrointestinal symptoms. Although several cases have been reported that infliximab is effective for induction of remission, the efficacy of infliximab for maintaining remission is unknown. Methods: Six cases with fulminant intestinal BD were treated with infliximab. All patients were steroid-dependent and refractory to immunosuppressants; 3 patients were treated with 6-mercaptopurine, 1 patient with azathioprine, 1 patient with cyclosporine A, and 1 patient with methotrexate. Results: Four patients achieved remission by infliximab and all of these patients maintained remission with scheduled treatments of infliximab, with the longest duration of remission being about 3 years. Another 2 patients with ileal ulceration required surgery; however, 1 patient has maintained remission by scheduled treatment of infliximab for 2 years after surgery. Conclusions: Infliximab appears to offer an option for fulminant intestinal BD to induce and maintain remission, although a randomized control trial is needed.

Original languageEnglish
Pages (from-to)1259-1264
Number of pages6
JournalInflammatory bowel diseases
Volume14
Issue number9
DOIs
Publication statusPublished - 2008 Sep 1

Keywords

  • Inflimixab
  • Intestinal Behçet's disease
  • Steroid-dependent

ASJC Scopus subject areas

  • Immunology and Allergy
  • Gastroenterology

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    Naganuma, M., Sakuraba, A., Hisamatsu, T., Ochiai, H., Hasegawa, H., Ogata, H., Iwao, Y., & Hibi, T. (2008). Efficacy of infliximab for induction and maintenance of remission in intestinal Behçet's disease. Inflammatory bowel diseases, 14(9), 1259-1264. https://doi.org/10.1002/ibd.20457