Rheumatology 2004; 43: 522-523
Rheumatology Vol. 43 No. 4 (c) British Society for Rheumatology 2004; all rights reserved
Letter to the Editor |
Morbidity and mortality in rheumatoid patients during treatment with adalimumab and infliximab
Department of Rheumatology, James Connolly Memorial Hospital, Blanchardstown, Dublin 15, Ireland
Correspondence to: M. Barry. E-mail: mbarry@ireland.com
| The first 10% of the full text of this article appears below. |
SIR, Three anti-tumour necrosis factor (TNF) agents (infliximab, adalimumab and etanercept) have demonstrated impressive efficacy in the treatment of rheumatoid arthritis (RA). They have been remarkably safe in the clinical trials reported to date [1]. The occurrence of serious infection, some fatal, during anti-TNF therapy in three UK centres led Moots et al. [2] to advocate greater caution in the use of these agents. Others have also recently emphasized the risk of serious bacterial infection associated with anti-TNF therapy [3, 4]. As of August 2002, 574 deaths have occurred in 554