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A patient’s wish: anakinra in pregnancy
  1. C T Berger1,
  2. M Recher1,
  3. U Steiner1,
  4. T M Hauser1,2
  1. 1
    Immunology Clinic, Department of Internal Medicine, University Hospital Zurich, Zurich, Switzerland
  2. 2
    Immunologie-Zentrum Zürich, Zurich, Switzerland
  1. Correspondence to Dr T Hauser, Immunologie-Zentrum Zürich, Walchestrasse 11, 8006 Zurich, Switzerland; hauser{at}immunologie-zentrum.ch

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Patients with adult-onset Still’s disease (AOSD) are at increased risk for adverse outcomes of pregnancy. An increased rate of preterm birth, intrauterine growth retardation and a possible influence of disease activity on pregnancy outcome have been reported.1 Interleukin 1 (IL1) is thought to have a key role in the pathogenesis of AOSD. Interestingly, it has also been related to an increased risk of preterm birth in animal models.2 3 An increasing number of reports on treatment of refractory AOSD with IL1 receptor antagonist (anakinra) emphasise its dramatic therapeutic effect and the rarity of its adverse events.4 5 However, its effects in pregnancy are not well known. Here we report successful continuous treatment of AOSD during pregnancy and breastfeeding.

A 33-year-old woman with …

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