Table 1 Patients’ main characteristics at rituximab treatment initiation and outcome data under therapy
Patient 1Patient 2Patient 3
Sex/age (years)F/29F/30F/29
Disease duration (years)271822
Previous treatmentsAnakinra, AZA, CsA, ETA, GS, IG, MTXAnakinra, CQ, ETA, GS, IFX, LF, MTXAnakinra, ADM, CsA, DP, GS, IFX, IG, LF, MTX, SSZ
Main symptoms at RTX treatment initiationFever, rash, arthritis, pleuritis, pericarditisFever, rash, arthritisFever, rash, arthritis
ESR (mm/h)/CRP (mg/l)75/171104/25864/128
TJC 28/SJC 289/525/2411/6
DAS286.318.686.43
Dose of prednisone (mg/day)301030
Concomitant treatment associated with RTXMTX 15 mg/weekMTX 15 mg/weekNone
Outcome
Response at month 6Remission of systemic symptomsRemission of systemic symptomsRemission of systemic symptoms
ESR 81/CRP 143ESR 67/CRP 180ESR 40/CRP 32
TJC 28 4/SJC 28 1TJC 28 6/SJC 28 6TJC 28 1/SJC 28 0
DAS28 4.62DAS28 5.70DAS28 3.28
Re-treatment: YesRe-treatment: YesRe-treatment: No
(severe hypersensitivity reaction during 2nd infusion)
Response at 1 yearRemission of systemic symptomsRemission of systemic symptomsRemission of systemic symptoms
ESR 53/CRP 94ESR 65/CRP 141ESR 44/CRP 47
TJC 28 5/SJC 28 2TJC 28 7/SJC 28 5TJC 28 3/SJC 28 2
DAS28 5.20DAS28 5.59DAS28 4.57
Re-treatment: YesRe-treatment: Yes
CommentsPrednisone daily dosage reduced to 10 mgPrednisone daily dosage reduced to 5 mgPrednisone daily dosage reduced to 5 mg
  • ADM, adalimumab; AZA, azathioprine; CQ, chloroquine; CRP, C-reactive protein; CsA, ciclosporin A; DAS28, disease activity score in 28 joints; DP, D-penicillamine; ESR, erythrocyte sedimentation rate; ETA, etanercept; GS, gold salts; IG, intravenous polyvalent immunoglobulin; IFX, infliximab; LF, leflunomide; MTX, methotrexate; RTX, rituximab; SJC, swollen joint count; SSZ, sulfasalazine; TJC, tender joint count.