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Safety and efficacy of TNFα blockade in relapsing vasculitis
  1. A D Booth1,
  2. H J Jefferson2,
  3. W Ayliffe3,
  4. P A Andrews2,
  5. D R Jayne1
  1. 1Department of Medicine, Addenbrooke's Hospital, Cambridge CB2 2QQ, UK
  2. 2SW Thames Renal and Transplantation Unit, St Helier Hospital, Carshalton SM1 AA, UK
  3. 3Mayday University Teaching Hospital, Croydon CR7 7YE, UK
  1. Correspondence to:
    Dr A D Booth, Department of Renal Medicine, Box No 118, Addenbrooke's NHS Trust, Hills Road, Cambridge CB2 2QQ, UK;
    tonybooth1{at}yahoo.co.uk

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Blockade of tumour necrosis factor alpha (TNFα) using infliximab, a chimeric monoclonal antibody against TNFα, is an effective treatment in rheumatoid arthritis and Crohn's disease.1, 2 Sifikakis reported success using infliximab in sight threatening Behçet's disease.3 A preliminary study has also reported clinical improvements in the primary systemic vasculitis, Wegener's granulomatosis, with the soluble TNFα receptor etanercept.4 The benefit of lenercept, a soluble p55 TNFα receptor fusion protein, on digital vasculitis in rheumatoid arthritis has also …

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