S41 Case Report: Immunoglobulin G4-Related Disease Mistaken for Crohn’s Disease

E. Picker, Reem Jan, Christopher R. Weber, L. Yassan, John Hart, D. T. Rubin
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Abstract

and adalimumab (0.003), and ustekinumab/vedolizumab (0.002). We also looked at outcomes of the patients who had HF as an adverse event due to biologics, including hospitalizations and it showed it was highest with adalimumab,followed by In fl iximab and vedolizumab. The other outcome we looked at was mortality for patients who had HF with biologics, it was highest in patients who had used adalimumab, followed by In fl iximab and ustekinumab. Conclusions: Our study adds further to the literature regarding biologics adverse events, speci fi cally heart failure. Tofacitinib had the highest ratio of heart failure among all adverse e ff ects, followed by the already-established In fl iximab. All other newer biologics had a relatively lower ratio. Despite tofacitinibhavingthehighestratioforheartfailure,wecannotattributesigni fi cancetothisduetothis drug having only one reported case compared to other drugs. Furthermore, we can conclude that newer biologics have a relatively very small ratio for the risk of heart failure compared to In fl iximab. Further data is needed for the newer biologics.
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S41 病例报告:免疫球蛋白 G4 相关疾病被误认为克罗恩病
和阿达木单抗(0.003),以及ustekinumab/vedolizumab(0.002)。我们还研究了因使用生物制剂而导致心房颤动不良事件的患者的治疗效果,包括住院治疗,结果显示阿达木单抗的治疗效果最好,其次是In fl iximab和vedolizumab。我们研究的另一项结果是使用生物制剂的高血脂患者的死亡率,使用阿达木单抗的患者死亡率最高,其次是In fl iximab和ustekinumab。结论我们的研究进一步丰富了有关生物制剂不良事件(尤其是心力衰竭)的文献。在所有不良反应中,托法替尼发生心力衰竭的比例最高,其次是已经上市的英利昔单抗。所有其他较新的生物制剂的比例相对较低。尽管法替尼的心脏衰竭发生率最高,但与其他药物相比,我们不能将其归因于该药仅有一例报道。此外,我们可以得出结论,与英利昔单抗相比,新型生物制剂的心衰风险比相对较小。较新的生物制剂还需要更多的数据。
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