Rheumatology Advance Access published online on April 16, 2008
Rheumatology, doi:10.1093/rheumatology/ken143
© The Author 2008. Published by Oxford University Press on behalf of the British Society for Rheumatology. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org
Efficacy and safety of rituximab in a patient with active rheumatoid arthritis and chronic disseminated pulmonary aspergillosis and history of tuberculosis
Department of Internal Medicine I, Division of Immunology and Rheumatology, University of Cologne, Cologne, Germany
Correspondence to:
N. Jung, Department of Internal Medicine I, Division of Immunology and Rheumatology, University of Cologne, Kerpener Str. 62, 50935 Cologne, Germany. E-mail: norma.jung@uni-koeln.de
| The first 10% of the full text of this article appears below. |
SIR, In RA, the rate of infections and infection-related mortality is up to 4 to 6 times higher as compared with the general population [1] and an increased risk has been associated in particular with the use of steroids [2] and TNF inhibitors [3]. Therefore, treatment of RA in patients with underlying chronic infections represents a challenge given that therapeutic options are limited.
We here report on a patient with active RA, who developed tuberculosis during