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Case Reports
. 2019 Sep 12;6(9):e00226.
doi: 10.14309/crj.0000000000000226. eCollection 2019 Sep.

Use of Tofacitinib for the Treatment of Arthritis Associated With Ulcerative Colitis

Affiliations
Case Reports

Use of Tofacitinib for the Treatment of Arthritis Associated With Ulcerative Colitis

Wenfei Wang et al. ACG Case Rep J. .

Abstract

Tofacitinib is a Janus kinase 1-3 inhibitor initially approved for the treatment of rheumatoid arthritis and now approved for the treatment of moderately to severely active ulcerative colitis (UC). We present the case of a patient with UC and seronegative inflammatory arthritis in whom arthritis progressed while on vedolizumab and was successfully treated with tofacitinib. This case provides insight into the use of tofacitinib for the treatment of UC and a concomitant extraintestinal manifestation of joint involvement.

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Figures

Figure 1.
Figure 1.
Right index finger and fifth digit synovitis while on vedolizumab and before tofacitinib treatment.
Figure 2.
Figure 2.
Resolution of joint swelling 8 weeks after tofacitinib treatment.

References

    1. Ordás I, Eckmann L, Talamini M, Baumgart DC, Sandborn WJ. Ulcerative colitis. Lancet. 2012;380(9853):1606–19. - PubMed
    1. Brakenhoff LK, Van der heijde DM, Hommes DW, Huizinga TW, Fidder HH. The joint-gut axis in inflammatory bowel diseases. J Crohns Colitis. 2010;4(3):257–68. - PubMed
    1. Peluso R, Manguso F, Vitiello M, Lervolino S, Di minno MN. Management of arthropathy in inflammatory bowel diseases. Ther Adv Chronic Dis. 2015;6(2):65–77. - PMC - PubMed
    1. Fleischmann R, Kremer J, Cush J, et al. Placebo-controlled trial of tofacitinib monotherapy in rheumatoid arthritis. N Engl J Med. 2012;367(6):495–507. - PubMed
    1. van Vollenhoven RF, Fleischmann R, Cohen S, et al. Tofacitinib or adalimumab versus placebo in rheumatoid arthritis. N Engl J Med. 2012;367(6):508–19. - PubMed

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