Hepatoprotective effect of tumour necrosis factor alpha blockade in psoriatic arthritis: a cross-sectional study.

Abstract:

OBJECTIVE:To evaluate the impact of tumour necrosis factor alpha (TNFalpha) blockers on the presence of liver fibrosis in patients with rheumatoid arthritis (RA) and psoriatic arthritis (PsA) treated with methotrexate (MTX). METHODS:Participants were consecutive patients with RA and PsA who had undergone MTX treatment for at least 1 year + or - TNF blockade for over 6 months. Liver fibrosis was assessed using non-invasive transient elastography (FibroScan). Regression models were used to compare FibroScan values of patients with RA and patients with PsA receiving TNFalpha blockers with those who were not. RESULTS:FibroScan assessments were performed on 51 patients with RA and 43 patients with PsA. Compared to patients with RA, those with PsA were predominantly young men, received lower cumulative dosages of MTX and exhibited a higher incidence of liver steatosis and hyperlipidaemia. An abnormal result was observed in 7.1% of the anti-TNFalpha-naïve and in 13% of the anti-TNFalpha-treated patients in the RA group and in 30% of the anti-TNFalpha-naïve and 4.3% of the anti-TNFalpha-treated patients in the PsA group (OR=0.11, 95% CI 0.02 to 0.98). Results of the PsA group were robust when adjusted for baseline characteristics. CONCLUSION:The results suggest a protective effect of TNFalpha inhibitors against the development of liver fibrosis in patients with PsA.

journal_name

Ann Rheum Dis

authors

Seitz M,Reichenbach S,Möller B,Zwahlen M,Villiger PM,Dufour JF

doi

10.1136/ard.2009.116194

subject

Has Abstract

pub_date

2010-06-01 00:00:00

pages

1148-50

issue

6

eissn

0003-4967

issn

1468-2060

pii

ard.2009.116194

journal_volume

69

pub_type

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