2016
DOI: 10.3899/jrheum.150177
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Characteristics Predicting Tuberculosis Risk under Tumor Necrosis Factor-α Inhibitors: Report from a Large Multicenter Cohort with High Background Prevalence

Abstract: Our results suggest that TB is an important complication of anti-TNF therapies in Turkey. TB chemoprophylaxis less than 9 months and the use of IFX therapy were independent risk factors for TB development.

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Cited by 71 publications
(32 citation statements)
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“…There is an increased risk of reactivation of TB, particularly in extrapulmonary sites, in patients treated with TNF-α inhibitors 11 . To our knowledge, this is the first case of peritoneal TB reported in a patient receiving ustekinumab treatment.…”
Section: Discussionmentioning
confidence: 70%
“…There is an increased risk of reactivation of TB, particularly in extrapulmonary sites, in patients treated with TNF-α inhibitors 11 . To our knowledge, this is the first case of peritoneal TB reported in a patient receiving ustekinumab treatment.…”
Section: Discussionmentioning
confidence: 70%
“…Patients with AS have strong sex preference, as it occurs frequently in young males in the age group of 20-30 years (Lindström et al, 2016b;Zou et al, 2016). Although AS has an insidious onset and slow progression, no effective treatment has been found, which severely affects the efficacy of treatment (Fischer et al, 2015;Kisacik et al, 2016a). AS can affect the tissues of the spine and major joints of the body, which elicit an inflammatory response (Colombo et al, 2015;Hoxha et al, 2016).…”
Section: Introductionmentioning
confidence: 99%
“…The increase in CD16 + monocytes is correlated with severity of active TB disease [26]. CD16 + monocytes isolated from TB patients with poorer clinical outcomes are less responsive to stimulation with MTB antigens or LPS, producing significantly less TNF-α [27], a cytokine whose decrease has been linked to TB disease activation [28,29]. This increase in CD16 + monocytes could be a direct result of MTB infection altering the CD14 + monocytes.…”
Section: Introductionmentioning
confidence: 99%