Artikel ; Online: Reactive arthritis following treatment with intravesical Bacillus Calmette-Guerin for papillary carcinoma of bladder.
BMJ case reports
2022 Band 15, Heft 4
Abstract: A man in his 60s developed reactive arthritis following treatment with intravesical Bacillus Calmette-Guerin (iBCG) for papillary carcinoma of bladder. Evaluation revealed leucocytosis and raised inflammatory markers. HLA B27 was positive. Based on the ... ...
Abstract | A man in his 60s developed reactive arthritis following treatment with intravesical Bacillus Calmette-Guerin (iBCG) for papillary carcinoma of bladder. Evaluation revealed leucocytosis and raised inflammatory markers. HLA B27 was positive. Based on the temporal relationship, it was attributed to BCG-related reactive arthritis. iBCG was stopped. Treatment with non-steroidal anti-inflammatory drugs (NSAIDS) and glucocorticoids were ineffective. Prolonged course of disease-modifying antirheumatic drugs (DMARDS) was required which aided in alleviation of symptoms and sustained remission. Intravesical BCG therapy is a treatment for bladder cancer. It is rarely associated with reactive arthritis, which responds to discontinuation of iBCG and treatment with NSAIDS and/or short-term glucocorticoids. iBCG-related reactive arthritis commonly has an acute/subacute course. Chronic arthritis as observed in our case requiring prolonged treatment with DMARDS is rare. |
---|---|
Mesh-Begriff(e) | Administration, Intravesical ; Anti-Inflammatory Agents, Non-Steroidal/adverse effects ; Antirheumatic Agents/therapeutic use ; Arthritis, Reactive/chemically induced ; Arthritis, Reactive/diagnosis ; Arthritis, Reactive/drug therapy ; BCG Vaccine/adverse effects ; Carcinoma, Papillary/drug therapy ; Female ; Glucocorticoids/therapeutic use ; Humans ; Male ; Mycobacterium bovis ; Urinary Bladder/pathology ; Urinary Bladder Neoplasms/pathology |
Chemische Substanzen | Anti-Inflammatory Agents, Non-Steroidal ; Antirheumatic Agents ; BCG Vaccine ; Glucocorticoids |
Sprache | Englisch |
Erscheinungsdatum | 2022-04-13 |
Erscheinungsland | England |
Dokumenttyp | Case Reports ; Journal Article |
ISSN | 1757-790X |
ISSN (online) | 1757-790X |
DOI | 10.1136/bcr-2022-249208 |
Datenquelle | MEDical Literature Analysis and Retrieval System OnLINE |
Zusatzmaterialien
Kategorien
Über subito bestellen
Dieser Service ist kostenpflichtig (siehe Lieferbedingungen von subito). Bestellungen, die einen Artikel nebst Supplementary Material umfassen, werden grundsätzlich wie mehrfache Bestellungen bearbeitet. Gebühren fallen in diesen Fällen für jede einzelne Bestellung an.
Fernleihe an ZB MED
Sie können sich den gewünschten Titel als lokale Nutzerin oder lokaler Nutzer von ZB MED direkt an den Standort Köln schicken lassen.