From: FDG-PET/CT as a useful tool for disease activity assessment in large vessel vasculitis in childhood
Parameter | Patients | |||
---|---|---|---|---|
Patient 1 | Patient 2 | Patient 3 | Patient 4 | |
Gender | female | female | female | female |
Age at diagnosis of TA | 17 y | 13 y | 13 y | 13 y |
Symptoms at initial manifestation | Fever | Fever | Fever | Fever |
Fatigue | Fatigue | Fatigue | Fatigue | |
Headache, Art. Hypertension | Malaise, Erythema nodosum | Night sweats, Weight loss | Palpatory reduced pulse left upper extremity, Blood pressure difference lower to upper extremity | |
Laboratory finding | ||||
CrP (N: < 5 mg/l) | 27 | 63 | 89 | 149 |
ESR (mm/h) | 83 | 88 | 76 | > 100 |
SAA (N: < 40 mg/l) | 105 | > 120 | > 120 | > 120 |
ANA | negative | negative | negative | positive |
Initial therapy | Prednisolon | Prednisolon | Prednisolon | Prednisolon |
Maintenance therapy | Tocilizumab | Tocilizumab | Tocilizumab | Tocilizumab |
Duration of tocilizumab | 22 months | 12 months | 61 months | More than 96 months, still ongoing |
Previous illnesses | Crohn`s disease | Uveitis intermedia | Kawasaki Syndrome | |
Akne inversa | Juvenile idiopathic arthritis | |||
Psoriasis inversa | Celiac disease | |||
Previous medication | Adalimumab | Adalimumab | ||
Anakinra | Methotrexat | |||
Infliximab | Prednisolon | |||
Methotrexat | ||||
Ustekinumab | ||||
Vedolizumab | ||||
Last medication before TA onset | Vedolizumab | Adalimumab |