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In recent years there has been growing interest in the use of tocilizumab for the treatment of large vessel vasculitis. Although the primary endpoint (time to relapse) was not met in the first randomised, placebo-controlled trial evaluating the efficacy and safety of tocilizumab in patients with refractory Takayasu arteritis, the results suggested favour for tocilizumab over placebo without new safety concerns.1 In this journal, three cases of Takayasu arteritis progression during tocilizumab treatment have been described.2 3 We report one additional patient with disease progression despite tocilizumab therapy.
A 25-year-old woman presented with …
Handling editor Josef S Smolen
Contributors Both authors were involved in the preparation of the manuscript and have approved the manuscript and this submission.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Provenance and peer review Not commissioned; internally peer reviewed.