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Rheumatology 2002; 41: 347-349
© 2002 British Society for Rheumatology
Letters to the Editor |
Anti-tumour necrosis factor treatment with infliximab in a case of giant cell arteritis resistant to steroid and immunosuppressive drugs
Clinical Immunology, Spedali Civili, Brescia, Italy
SIR, The therapeutic approach to giant cell arteritis (GCA) remains based on the long-term use of high doses of corticosteroids. No real alternative exists in cases in which the disease is not controlled or recurs despite appropriate therapy with steroids, or in which unacceptable side-effects arise. Although small studies have suggested that immunosuppressive drugs, such as azathioprine and methotrexate, could be used as steroid-sparing agents [1
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