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THE RELATIONSHIP BETWEEN TOCILIZUMAB USE AND EOSINOPHIL COUNT IN PATIENTS WITH RHEUMATOID ARTHRITIS: A RETROSPECTIVE STUDY Romatoid Artritli Hastalarda Tosilizumab Kullanımı ile Eozinofil Sayısı Arasındaki İlişki: Retrospektif Bir Çalışma

Year 2024, Volume: 14 Issue: 4, 215 - 220, 15.12.2024

Abstract

ABSTRACT
Objective: This study aimed to determine the relationship between tosilizumab use and eosinophil counts
in patients with rheumatoid arthritis.
Material and Methods: Thirty five patients diagnosed with rheumatoid arthritis (RA) receiving either synthetic
disease-modifying antirheumatic drugs (DMARDs) or tocilizumab treatment were included in this
study. Patient age and disease duration, disease activity parameters and eosinophil values were recorded.
Results: Comparing the eosinophil counts and percentages of the DMARD group with the Tocilizumab
group, any statistically significant differences were found. There was no significant difference in eosinophil
counts and percentages in the DMARD group in repeated measurements. However, in the Tocilizumab
group, there was a significant difference in both parameters.
Conclusion: A significant increase in eosinophil counts was observed in the group receiving tocilizumab
therapy at the 1st month. Therefore, during treatment monitoring, especially in the early stages, attention
should also be paid to eosinophil values.

References

  • 1. Kovalszki A, Weller PF. Eosinophilia. Prim Care. 2016;43(4):607-17.
  • 2. Tefferi A, Patnaik MM, Pardanani A. Eosinophilia: secondary, clonal and idiopathic. Br J Haematol. 2006;133(5):468-92.
  • 3. Tamaki H, Chatterjee S, Langford CA. Eosinophilia in Rheumatologic/Vascular Disorders. Immunol Allergy Clin North Am. 2015;35(3):453-76.
  • 4. Morrisroe K, Wong M. Drug-induced hypereosinophilia related to tocilizumab therapy for rheumatoid arthritis. Rheumatology (Oxford). 2015;54(11):2113-4.
  • 5. Azuma N, Matsui K, Hashimoto N, Yoshikawa T, Sano H. Successful Switch to Golimumab for Eosinophilia and Skin Symptoms Related to Multiple Biologics in a Patient with Rheumatoid Arthritis. Intern Med. 2017;56(12):1585-90.
  • 6. Ikegawa K, Hanaoka M, Ushiki A, Yamamoto H, Kubo K. A caseof organizing pneumonia induced by tocilizumab. Intern Med. 2011;50(19):2191-3.
  • 7. Zuelgaray E, Domont F, Peiffer-Smadja N, Saadoun D, Cacoub P. Tocilizumab-Induced Drug Reaction With Eosinophilia and Systemic Symptoms Syndrome in Adult-Onset Still Disease. Ann Intern Med. 2017;167(2):141-2.
  • 8. Imai Y, Kondo Y, Ishigaki S, Nishina N, Ota Y, Hanaoka H, et al. A case of eosinophilic granulomatosis with polyangiitis after prolonged intervals of an anti-interleukin-6 receptor antibody for rheumatoid arthritis. Mod Rheumatol Case Rep. 2022;6(1):83-6.
  • 9. Emmanuel D, Parija SC, Jain A, Misra DP, Kar R, Negi VS. Persistent eosinophilia in rheumatoid arthritis: a prospective observational study. Rheumatol Int. 2019;39(2):245-53.
  • 10. Guellec D, Milin M, Cornec D, Tobon GJ, Marhadour T, Jousse-Joulin S, et al. Eosinophilia predicts poor clinical outcomes in recent-onset arthritis: results from the ESPOIR cohort. RMD Open. 2015;1(1):e000070.

THE RELATIONSHIP BETWEEN TOCILIZUMAB USE AND EOSINOPHIL COUNT IN PATIENTS WITH RHEUMATOID ARTHRITIS: A RETROSPECTIVE STUDY Romatoid Artritli Hastalarda Tosilizumab Kullanımı ile Eozinofil Sayısı Arasındaki İlişki: Retrospektif Bir Çalışma

Year 2024, Volume: 14 Issue: 4, 215 - 220, 15.12.2024

Abstract

Objective: This study aimed to determine the relationship between tosilizumab use and eosinophil counts
in patients with rheumatoid arthritis.
Material and Methods: Thirty five patients diagnosed with rheumatoid arthritis (RA) receiving either synthetic
disease-modifying antirheumatic drugs (DMARDs) or tocilizumab treatment were included in this
study. Patient age and disease duration, disease activity parameters and eosinophil values were recorded.
Results: Comparing the eosinophil counts and percentages of the DMARD group with the Tocilizumab
group, any statistically significant differences were found. There was no significant difference in eosinophil
counts and percentages in the DMARD group in repeated measurements. However, in the Tocilizumab
group, there was a significant difference in both parameters.
Conclusion: A significant increase in eosinophil counts was observed in the group receiving tocilizumab
therapy at the 1st month. Therefore, during treatment monitoring, especially in the early stages, attention
should also be paid to eosinophil values.

References

  • 1. Kovalszki A, Weller PF. Eosinophilia. Prim Care. 2016;43(4):607-17.
  • 2. Tefferi A, Patnaik MM, Pardanani A. Eosinophilia: secondary, clonal and idiopathic. Br J Haematol. 2006;133(5):468-92.
  • 3. Tamaki H, Chatterjee S, Langford CA. Eosinophilia in Rheumatologic/Vascular Disorders. Immunol Allergy Clin North Am. 2015;35(3):453-76.
  • 4. Morrisroe K, Wong M. Drug-induced hypereosinophilia related to tocilizumab therapy for rheumatoid arthritis. Rheumatology (Oxford). 2015;54(11):2113-4.
  • 5. Azuma N, Matsui K, Hashimoto N, Yoshikawa T, Sano H. Successful Switch to Golimumab for Eosinophilia and Skin Symptoms Related to Multiple Biologics in a Patient with Rheumatoid Arthritis. Intern Med. 2017;56(12):1585-90.
  • 6. Ikegawa K, Hanaoka M, Ushiki A, Yamamoto H, Kubo K. A caseof organizing pneumonia induced by tocilizumab. Intern Med. 2011;50(19):2191-3.
  • 7. Zuelgaray E, Domont F, Peiffer-Smadja N, Saadoun D, Cacoub P. Tocilizumab-Induced Drug Reaction With Eosinophilia and Systemic Symptoms Syndrome in Adult-Onset Still Disease. Ann Intern Med. 2017;167(2):141-2.
  • 8. Imai Y, Kondo Y, Ishigaki S, Nishina N, Ota Y, Hanaoka H, et al. A case of eosinophilic granulomatosis with polyangiitis after prolonged intervals of an anti-interleukin-6 receptor antibody for rheumatoid arthritis. Mod Rheumatol Case Rep. 2022;6(1):83-6.
  • 9. Emmanuel D, Parija SC, Jain A, Misra DP, Kar R, Negi VS. Persistent eosinophilia in rheumatoid arthritis: a prospective observational study. Rheumatol Int. 2019;39(2):245-53.
  • 10. Guellec D, Milin M, Cornec D, Tobon GJ, Marhadour T, Jousse-Joulin S, et al. Eosinophilia predicts poor clinical outcomes in recent-onset arthritis: results from the ESPOIR cohort. RMD Open. 2015;1(1):e000070.
There are 10 citations in total.

Details

Primary Language English
Subjects Rheumatology and Arthritis
Journal Section Original Research
Authors

Elem Yorulmaz

Duygu Geler Külcü

Publication Date December 15, 2024
Submission Date November 13, 2024
Acceptance Date December 1, 2024
Published in Issue Year 2024 Volume: 14 Issue: 4

Cite

APA Yorulmaz, E., & Geler Külcü, D. (2024). THE RELATIONSHIP BETWEEN TOCILIZUMAB USE AND EOSINOPHIL COUNT IN PATIENTS WITH RHEUMATOID ARTHRITIS: A RETROSPECTIVE STUDY Romatoid Artritli Hastalarda Tosilizumab Kullanımı ile Eozinofil Sayısı Arasındaki İlişki: Retrospektif Bir Çalışma. Bozok Tıp Dergisi, 14(4), 215-220.
AMA Yorulmaz E, Geler Külcü D. THE RELATIONSHIP BETWEEN TOCILIZUMAB USE AND EOSINOPHIL COUNT IN PATIENTS WITH RHEUMATOID ARTHRITIS: A RETROSPECTIVE STUDY Romatoid Artritli Hastalarda Tosilizumab Kullanımı ile Eozinofil Sayısı Arasındaki İlişki: Retrospektif Bir Çalışma. Bozok Tıp Dergisi. December 2024;14(4):215-220.
Chicago Yorulmaz, Elem, and Duygu Geler Külcü. “THE RELATIONSHIP BETWEEN TOCILIZUMAB USE AND EOSINOPHIL COUNT IN PATIENTS WITH RHEUMATOID ARTHRITIS: A RETROSPECTIVE STUDY Romatoid Artritli Hastalarda Tosilizumab Kullanımı Ile Eozinofil Sayısı Arasındaki İlişki: Retrospektif Bir Çalışma”. Bozok Tıp Dergisi 14, no. 4 (December 2024): 215-20.
EndNote Yorulmaz E, Geler Külcü D (December 1, 2024) THE RELATIONSHIP BETWEEN TOCILIZUMAB USE AND EOSINOPHIL COUNT IN PATIENTS WITH RHEUMATOID ARTHRITIS: A RETROSPECTIVE STUDY Romatoid Artritli Hastalarda Tosilizumab Kullanımı ile Eozinofil Sayısı Arasındaki İlişki: Retrospektif Bir Çalışma. Bozok Tıp Dergisi 14 4 215–220.
IEEE E. Yorulmaz and D. Geler Külcü, “THE RELATIONSHIP BETWEEN TOCILIZUMAB USE AND EOSINOPHIL COUNT IN PATIENTS WITH RHEUMATOID ARTHRITIS: A RETROSPECTIVE STUDY Romatoid Artritli Hastalarda Tosilizumab Kullanımı ile Eozinofil Sayısı Arasındaki İlişki: Retrospektif Bir Çalışma”, Bozok Tıp Dergisi, vol. 14, no. 4, pp. 215–220, 2024.
ISNAD Yorulmaz, Elem - Geler Külcü, Duygu. “THE RELATIONSHIP BETWEEN TOCILIZUMAB USE AND EOSINOPHIL COUNT IN PATIENTS WITH RHEUMATOID ARTHRITIS: A RETROSPECTIVE STUDY Romatoid Artritli Hastalarda Tosilizumab Kullanımı Ile Eozinofil Sayısı Arasındaki İlişki: Retrospektif Bir Çalışma”. Bozok Tıp Dergisi 14/4 (December 2024), 215-220.
JAMA Yorulmaz E, Geler Külcü D. THE RELATIONSHIP BETWEEN TOCILIZUMAB USE AND EOSINOPHIL COUNT IN PATIENTS WITH RHEUMATOID ARTHRITIS: A RETROSPECTIVE STUDY Romatoid Artritli Hastalarda Tosilizumab Kullanımı ile Eozinofil Sayısı Arasındaki İlişki: Retrospektif Bir Çalışma. Bozok Tıp Dergisi. 2024;14:215–220.
MLA Yorulmaz, Elem and Duygu Geler Külcü. “THE RELATIONSHIP BETWEEN TOCILIZUMAB USE AND EOSINOPHIL COUNT IN PATIENTS WITH RHEUMATOID ARTHRITIS: A RETROSPECTIVE STUDY Romatoid Artritli Hastalarda Tosilizumab Kullanımı Ile Eozinofil Sayısı Arasındaki İlişki: Retrospektif Bir Çalışma”. Bozok Tıp Dergisi, vol. 14, no. 4, 2024, pp. 215-20.
Vancouver Yorulmaz E, Geler Külcü D. THE RELATIONSHIP BETWEEN TOCILIZUMAB USE AND EOSINOPHIL COUNT IN PATIENTS WITH RHEUMATOID ARTHRITIS: A RETROSPECTIVE STUDY Romatoid Artritli Hastalarda Tosilizumab Kullanımı ile Eozinofil Sayısı Arasındaki İlişki: Retrospektif Bir Çalışma. Bozok Tıp Dergisi. 2024;14(4):215-20.
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