Biologic therapy-Related demyelinating peripheral neuropathy in a child with Juvenile Idiopathic Arthritis
Main Article Content
Abstract
Demyelinating peripheral neuropathy has been described in association with tumor necrosis factor (TNF) inhibitors. It is rarely developed after treatment discontinuation. We present the case of a child with juvenile idiopathic arthritis who developed peripheral neuropathy few months after TNF inhibitor withdrawal with clinical worsening of the neurological sequelae while undergoing treatment with abatacept.
Article Details
Copyright (c) 2018 Alqurashi HA, et al.

This work is licensed under a Creative Commons Attribution 4.0 International License.
Furst D, Keystone E, Braun J, Breedveld F, Burmester G, et al. Updated consensus statement on biological agents for the treatment of rheumatic diseases, 2010. Ann Rheum Dis. 2011; 70: i2-36. Ref.: https://tinyurl.com/ydhu4qoy
Davies R, Carrasco R, Foster H, Balidam E, Chieng S, et al. Treatment prescribing patterns in patients with juvenile idiopathic arthritis (JIA): Analysis from the UK Childhood Arthritis Prospective (CAPS). Semin Arthritis Rheum. 2016; 46: 190-195. Ref.: https://tinyurl.com/yayoxrsp
Horneff G. Safety of biologic therapies for the treatment of juvenile idiopathic arthritis. Expert Opin Drug Saf. 2015; 14: 1111-1126. Ref.: https://tinyurl.com/y7s7dncp
Hashkes P, Uziel Y, Laxer R. The safety profile of biologic therapies for juvenile idiopathic arthritis. Nat Rev Rheumatol. 2010; 6: 561- 571. Ref.: https://tinyurl.com/y7ov3ckz
Al-Mayouf S, Alenazi A, ALJasser H. Biologic agents therapy for Saudi children with rheumatic diseases: indications and safety. Int J Rheum Dis. 2016; 19: 600- 605. Ref.: https://tinyurl.com/ydgjmw76
Yagita M, Hamano T, Hatachi S, Fujita M. Peripheral neuropathies during biologic therapies. Mod Rheumatol. 2016; 26: 288-293.
Seror R, Richez C, Sordet C, Rist S, Gossec L, et al. Pattern of demyelination occurring during anti-TNF- therapy: a French national survey. Rheumatology (Oxford). 2013; 52: 868-874. Ref.: https://tinyurl.com/yc8ayp7k
Ramos-Casals M, Roberto-Perez-Alvarez, Diaz-Lagares C, Cuadrado M, Khamashta M. Autoimmune diseases induced by biological agents: a double-edged sword? Autoimmun Rev. 2010; 9: 188-193. Ref.: https://tinyurl.com/y95jxhna
Perez-Alvarez R, Pérez-De-Lis M, Ramos-Casals M. Biologics-induced autoimmune diseases. Curr Opin Rheumatol. 2013; 25: 56-64. Ref.: https://tinyurl.com/yd7hpn5p
Alvarez-Lario B, Prieto-Tejedo R, Colazo-Burlato M, Macarron-Vicente J. Severe Guillain-Barre syndrome in a patient receiving anti-TNF therapy. Consequence or coincidence. A case-based review. Clin Rheumatol. 2013; 32: 1407-1412. Ref.: https://tinyurl.com/ybf9zbmt
Herrero-Beaumont G, Martínez Calatrava M, Castañeda S. Abatacept mechanism of action: concordance with its clinical profile. Reumatol Clín. 2012; 8: 78-83.