Thalidomide therapy for recalcitrant systemic onset juvenile rheumatoid arthritis.

Lehman, Thomas J A; Striegel, Kim H; Onel, Karen B · J Pediatr · 2002

case_report · Level V

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Abstract

Systemic onset juvenile rheumatoid arthritis unresponsive to nonsteroidal anti-inflammatory drugs may be controlled with corticosteroids, but these drugs have significant side effects. We report 2 steroid-dependent children with systemic onset juvenile rheumatoid arthritis who did not respond to multiple nonsteroidal anti-inflammatory drugs, methotrexate, azathioprine, cyclosporine, and etanercept. Both children had significant improvement with thalidomide therapy.

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