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LETTER |
Division of Gastroenterology, University of California, San Francisco, USA
Correspondence to:
Correspondence to:
Dr U Mahadevan MD
Division of Gastroenterology, University of California, 2330 Post Street, #610, San Francisco, CA 94115, USA; umamah@itsa.ucsf.edu
Keywords: adalimumab; pregnancy; Crohns disease
| The first 150 words of the full text of this article appear below. |
Infliximab, a chimeric antibody to tumour necrosis factor alpha (TNF-
), has demonstrated efficacy for the induction and maintenance of remission in patients with Crohns disease.1,2 Antibodies to the chimeric component of infliximab can lead to infusion reactions and possible loss of response.3 A human recombinant monoclonal antibody to TNF-
, adalimumab, has recently demonstrated safety and efficacy for induction of remission in Crohns disease.4 It has also been effective in patients who have lost response to infliximab.5 Currently, this drug is FDA approved for the treatment of rheumatoid arthritis but it is being administered off label to patients with Crohns disease who are intolerant of infliximab. The safety profile during pregnancy is not well known for either drug. We report a patient who has had two successful pregnancies, one while on infliximab and the other while on adalimumab.
A 34 year old woman with longstanding ileocolonic and perianal Crohns
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