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1.
Anna Viola Daniela Pugliese Sara Renna Federica Furfaro Flavio Caprioli Renata D’Incà Fabrizio Bossa Stefano Mazza Giuseppe Costantino Massimo Claudio Fantini Gionata Fiorino Angela Alibrandi Ambrogio Orlando Alessandro Armuzzi Walter Fries 《Digestive and liver disease》2019,51(4):510-515
Background
Anti-TNF therapies infliximab (IFX), adalimumab (ADA), and golimumab (GOL) are approved for treating moderate to severe ulcerative colitis (UC). In UC, only the switch from IFX to ADA has been investigated, reaching no more than 10–43% remission rates at 12 months.Aim
Of the present study was to investigate disease outcome after a switch from subcutaneous (SC) agents to the intravenous (IV) agent (IFX).Methods
In this retrospective multicentre study, we analysed the charts of UC patients unresponsive/intolerant or with secondary loss of response (LOR) to ADA or GOL who were switched to IFX. We evaluated clinical response and remission together with adverse events at 3, 6, and 12 months follow-up.Results
Seventy-six patients were included; 38 patients started ADA and 38 started GOL for a mean therapy duration of 6?±?6 months. Indications for switch were adverse events in 3%, primary failure in 79%, and LOR in 18% of patients. Clinical remission was reached by 47%, 50%, and 77% of patients, respectively. Patients that switched for LOR did numerically, but not statistically, better than patients who switched for primary failure.Conclusions
Our data show a superior remission rate in SC to IV anti-TNF switch in UC compared to the IV to SC switch reported in literature. 相似文献2.
Conti Giovanni Galletta Francesca Carucci Nicolina Stefania La Mazza Antonella Mollica Salvatore Antonio Alibrandi Angela Visalli Carmela 《Clinical rheumatology》2021,40(9):3723-3727
Clinical Rheumatology - The aim of this study is to evaluate a possible negative action of lockdown, during the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic, in the... 相似文献
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Maria Luisa Torre Giuseppina T. Russo Marta Ragonese Annalisa Giandalia Ernesto De Menis Giorgio Arnaldi Angela Alibrandi Carmelo Buda Giovanni Romanello Elisabetta L. Romeo Domenico Cucinotta Francesco Trimarchi Salvatore Cannavo 《Pituitary》2014,17(3):257-266
Background
Acromegalic patients have a higher risk of developing colorectal tumours (CRT). The common C677T polymorphism in methylenetetrahydrofolate reductase (MTHFR) gene is a well-documented CRT risk factor in the general population, but its role in acromegaly has never been examined.Purpose
We investigated the influence of MTHFR C677T polymorphism, folate status and other lifestyle, nutritional and disease-specific variables on CRT risk in acromegaly.Methods
Clinical data were collected from 115 acromegalic patients (25 with active disease) who underwent a complete colonoscopy. C677T MTHFR genotype, homocysteine, vitamin B12, insulin growth factor and insulin levels, as well as metabolic variables were evaluated.Results
Colorectal tumours were identified in 51 patients (3 adenocarcinomas). MTHFR C677T distribution was in the Hardy–Weinberg equilibrium and similar in patients with or without CRT. There was a correlation between patients with TT genotype and CRT occurrence (Spearman’s test: P = 0.03), with an Odds Ratio (OR) of 1.32 (95 % CI 0.522–3.362, P NS). A folate–MTHFR genotype interaction on CRT risk was found (P = 0.037): in the lower folate subgroup, TT patients showed a 2.4 higher OR for CRT (95 % CI 0.484–11.891; P NS) than C-allele carriers. Smoking (P = 0.007), increased HbA1c levels (P = 0.021), dyslipidaemia (P = 0.049), acromegaly control (P = 0.057), and folate–MTHFR genotype interaction (P = 0.088) were associated with CRT at multivariate analysis.Conclusions
In this cohort of acromegalic patients, CRT risk is increased in 677TT MTHFR patients with low plasma folate levels. Smoking, high HbA1c levels, dyslipidaemia and disease activity were also associated with increased CRT risk. 相似文献5.
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Ventura Spagnolo Elvira Mondello Cristina Di Mauro Debora Vermiglio Giovanna Asmundo Alessio Filippini Elena Alibrandi Angela Rizzo Giuseppina 《International journal of legal medicine》2018,132(6):1685-1692
International Journal of Legal Medicine - The post-mortem assessment of sepsis-related death can be carry out by many methods recently suggested as microbiological and biochemical investigations.... 相似文献
9.
M.A. Avanzini L. Vitali G. dAnnunzio M. De Amici C. Strigazzi A. Alibrandi R. Lorini 《Diabetic medicine》1998,15(4):320-326
The low affinity receptor for IgE, CD23, is expressed on lymphocytes among other cell types. The purpose of the present study was to assess serum sCD23 levels and CD23 expression on peripheral blood mononuclear cells (PBMC) in people at increased risk of developing Type 1 diabetes mellitus and in diabetic patients. Serum sCD23 levels were significantly higher in first-degree relatives of Type 1 patients (median: 3.2 U ml−1) (p < 0.001) and in newly diagnosed (median: 3.3 U ml−1) (p < 0.001) and long-standing (median: 2.5 U ml−1) (p = 0.01) Type 1 diabetic patients than in controls (median: 1.2 U ml−1). Newly diagnosed patients showed higher levels than those with long-standing disease (p = 0.026). Moreover the percentage of B cells expressing CD23 were significantly higher in first-degree relatives (median: 48.6 %) (p < 0.001) and in newly diagnosed (median: 58 %) (p < 0.001) and long-standing (median: 44.8 %) (p = 0.03) Type 1 diabetic patients than in controls (median: 28.5 %). The increased sCD23 levels and the increased number of cells expressing CD23 observed in subjects at increased risk of Type 1 diabetes and diabetic patients may be indicators of Th2 activity in Type 1 diabetes. © 1998 John Wiley & Sons, Ltd. 相似文献
10.
Hypergammaglobulinemia is a strong predictor of disease progression,hepatocellular carcinoma,and death in patients with compensated cirrhosis 下载免费PDF全文