Table 1

Patient’s characteristics

Patient 1Patient 2Patient 3
Age at the beginning of the treatment39 years52 years35 years
GenreFemaleFemaleMale
Medical historyOsteoporosisType 2 diabetes
Overlap syndrome
Bipolar disorder
Osteoporosis
Hypothyroidism
Duration of illness until TCZ10 years8 years3 months
Organs concernedMuscle
Aneurysms kidney arteries
Muscle
Neuropathy
Skin and soft tissue
Occlusion and aneurysm of arm arteries
Muscle
Neuropathy
ACR diagnostic criteriaWeight loss >4 kg
Myalgias
Diastolic pressure >90 mm Hg creatinine >1.5 mg/dL
Biopsy of small-sized or medium-sized artery containing PNN aneurysms or occlusions of the visceral arteries
Weight loss >4 kg
Livedo reticularis
Myalgias, polyneuropathy
Biopsy of small-sized or medium-sized artery containing PNN aneurysms or occlusions of the visceral arteries
Weight loss >4 kg
Myalgias, polyneuropathy
Biopsy of small-sized or medium-sized artery containing PNN
Previous immunosuppressive therapeuticsCorticosteroids
Methotrexate
Mycophenolate mofetil
Cyclophosphamide intravenous
Infliximab
Corticosteroids
Dapsone
Methotrexate
Cyclophosphamide intravenous
Oral cyclophosphamide
Azathioprine
Corticosteroids
  • ACR, American College of Rheumatology; PNN, polynuclear neutrophils; TCZ, tocilizumab.