Case Reports
CTLA-4 Ig as an effective treatment in a patient with type I diabetes mellitus and seropositive rheumatoid arthritis
A.L. Fedele1, S. Alivernini2, E. Gremese3, G. Ferraccioli4
- Division of Rheumatology, Catholic University of the Sacred Heart, Rome, Italy.
- Division of Rheumatology, Catholic University of the Sacred Heart, Rome, Italy.
- Division of Rheumatology, Catholic University of the Sacred Heart, Rome, Italy.
- Division of Rheumatology, Catholic University of the Sacred Heart, Rome, Italy. gff1990@gmail.com
CER8443
2016 Vol.34, N°2
PI 0315, PF 0317
Case Reports
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PMID: 26575162 [PubMed]
Received: 11/03/2015
Accepted : 23/07/2015
In Press: 17/11/2015
Published: 13/04/2016
Abstract
We describe a patient suffering from seropositive rheumatoid arthritis (RA) and type I diabetes mellitus (T1DM), who achieved a good EULAR response together with an improvement of the glycemic profile under treatment with CTLA-4 Ig. A close association is known to exist between T1DM and RA, and CTLA-4 exon 1 polymorphism has been associated to RA with coexisting autoimmune endocrinopathies. The possible common genetic background and the potential role of CTLA-4 Ig in the early phases of T1DM, could be considered in the therapeutic interventions in RA patients with type 1 diabetes.