Adalimumab is effective in achieving clinical and endoscopic long-term deep remission: A case report

Gionata Fiorino , Alessandro Repici , Alberto Malesci , Silvio Danese
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Abstract

Anti-tumour necrosis factor-alpha has dramatically changed the natural history of Crohn's disease in the last decades. Adalimumab is effective in inducing and maintaining clinical remission as well as in inducing deep mucosal healing, which is a prognostic factor for further progression of the disease. Long-term treatment with adalimumab is considered safe and should be continued for at least 3 years in patients with aggressive long-standing Crohn's disease.

We report the case of a 61-year-old woman with aggressive and complicated steroid-dependant Crohn's disease in whom clinical and endoscopic long-term deep remission was achieved for up to 3 years, without any need for steroids, hospitalization or surgery.

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阿达木单抗在实现临床和内镜下长期深度缓解方面是有效的:一个病例报告
在过去的几十年里,抗肿瘤坏死因子- α戏剧性地改变了克罗恩病的自然历史。阿达木单抗在诱导和维持临床缓解以及诱导深层粘膜愈合方面是有效的,这是疾病进一步进展的预后因素。长期使用阿达木单抗治疗被认为是安全的,对于侵袭性长期克罗恩病患者应持续使用至少3年。我们报告一例患有侵袭性和复杂的类固醇依赖性克罗恩病的61岁妇女,其临床和内窥镜长期深度缓解达3年,无需类固醇,住院或手术。
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