• J. Korean Med. Sci. · Sep 2010

    Case Reports

    A case of multicentric Castleman's disease having lung lesion successfully treated with humanized anti-interleukin-6 receptor antibody, tocilizumab.

    • Tomoaki Higuchi, Takashi Nakanishi, Kunio Takada, Mitsuyo Matsumoto, Makoto Okada, Hideyuki Horikoshi, and Kimihiro Suzuki.
    • Department of Internal Medicine, Division of Rheumatology, National Defense Medical College, Saitama, Japan. hiromedic@yahoo.co.jp
    • J. Korean Med. Sci. 2010 Sep 1;25(9):1364-7.

    AbstractThis report presents the case of a patient demonstrating multicentric Castleman's disease (MCD) with a lung lesion that was successfully treated with an anti-interleukin-6 receptor antibody, tocilizumab in combination with corticosteroid and tacrolimus. A 43-yr-old female with abnormal shadows on a chest X-ray was referred to the hospital for further examination. She was diagnosed as having MCD based on the characteristic pathology of inguinal lymph node, lung lesions, laboratory data, and undifferentiated arthritis. Corticosteroid and rituximab therapy did not fully ameliorate the symptoms; thus, the therapeutic regimen was changed to include tocilizumab, oral corticosteroid and tacrolimus. This regimen resulted in clinical remission and the dose of tocilizumab and corticosteroid could be tapered. Tocilizumab in combination with corticosteroid and tacrolimus may therefore be a beneficial treatment regimen for lung lesions associated with MCD.

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