Journal of Clinical Medicine Research, ISSN 1918-3003 print, 1918-3011 online, Open Access
Article copyright, the authors; Journal compilation copyright, J Clin Med Res and Elmer Press Inc
Journal website http://www.jocmr.org

Case Report

Volume 8, Number 4, April 2016, pages 334-337


Long-Term Efficacy of Adalimumab in Patients With Intestinal Behcet’s Disease: Eight Consecutive Cases

Figure

Figure 1.
Figure 1. Evolution of the percentage of global GI symptom score 0 or ≤ 1 (A) and endoscopic assessment score 0 or ≤ 1 (B) at 10 and 52 weeks in the eight cases receiving ADA. Data are presented as mean ± SEM.

Tables

Table 1. Baseline Demographic Variables of the Eight Patients With Intestinal BD Refractory to Conventional Medications Who Were Given ADA
 
DemographyNumber (%) (N = 8)
Male sex4 (50%)
Mean age46.6
Smoking (current)1 (12.5%)
Alcohol1 (12.5%)
Disease type
  Complete/incomplete/suspicious0/7/1
GI symptom score
  35 (62.5%)
  43 (37.5%)
Ulcer size at ileocecum
  1 - 2 cm2 (25%)
  2 - 3 cm3 (37.5%)
  ≥ 3 cm3 (37.5%)
Concomitant drugs
  Mesalazine4 (50%)
  Prednisolone4 (50%)
  Azathioprine1 (12.5%)

 

Table 2. Clinical Course up to 52 Weeks
 
Case No.AgeSexTypePostoperative recurrence0 weekTreated ADA10 weeksMarked improvement52 weeksMarked improvement
GI sympUlcer sizeOral aphthaCRPPretreatedGI sympEnd scoreCRPOral aphthaGI sympEnd scoreCRPOral aphtha
Numbers in parentheses indicate doses (mg/day) of concurrent drugs. Asterisk means last observation carried forward because endoscopic score of patient 6 presented with the 32-week score. MLZ: mesalazine; PSL: prednisolone; AZA: azathioprine; CRP: C-reactive protein; ADA: adalimumab; symp: symptom; End score: endoscopic score; failed: failed to achieve clinical response.
165MIncomplete-33 cm+5.44PSL (5)+110.37-+020.43--
229FIncomplete-41 - 2 cm+0.18PSL (5)+200.10--100.14-+
339MIncomplete-43 cm+0.38PSL (10)+200.05--100.05-+
441FSuspicious-42 - 3 cm+0.20PSL (failed), MLZ (2,000)+010.05-+010.03-+
568MIncomplete+32 - 3 cm+0.33PSL (25), AZA (25)+110.08-+110.15-+
659MIncomplete-31 - 2 cm+0.42MLZ (3,000)+000.04++00*0.03++
715FIncomplete-32 - 3 cm+0.58MLZ (2,000)+000.04++000.07++
857FIncomplete-33 cm+0.34MLZ (intolerance)+120.65+-120.37+-