臨床リウマチ
Online ISSN : 2189-0595
Print ISSN : 0914-8760
ISSN-L : 0914-8760
原著
関節リウマチに対するトシリズマブの治療効果の検討 ―PTによる評価―
佐藤 亜希子青木 厚子鈴木 京子野口 麻衣土田 豊実
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ジャーナル フリー

2009 年 21 巻 3 号 p. 230-234

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抄録
Introduction
    Biologics have remarkable curative effects on rheumatoid arthritis (RA).
    Tocilizmab was approved on April 16, 2008, and the administration of the preparation began at our clinic in May.
    The clinical progress of tocilizmab has not been examined. We would like to report observations of cases of RA with tocilizmab made by physical therapists.
Object
    Two male and seven female patients (mean age of nine cases: 61.2 years).
Method
    The transition of numerical values of CRP and DAS28 was examined for 12 weeks immediately after tocilizmab was administered. The measurement of swelling of joints numerical values of VAS and measurement of joint motion were examined for the same period.
Clinical results
    The tocilizmab improved the numerical value of CRP remarkably in a week.
    It improved DAS28 gradually.
    Eight weeks later than the change in CRP and DAS28, swelling of joints was improved.
    12 weeks later than the change in CRP, VAS was improved.
    ROM was not improved.
Consideration and conclusion
    The curative effects of tocilizmab include remarkable improvement of the numerical value of CRP in a week, slow improvement of measurement of swelling of joints and VAS.ROM was not improved.
    Therefore, the clinical progress of tocilizmab seems to be different from other biologics.
    We conclude that satisfaction of the patient is obtained12weeks after administration of tocilizmab.
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© 2009 一般社団法人日本臨床リウマチ学会
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