PT - JOURNAL ARTICLE AU - Natalia Cabrera AU - Agnes Duquesne AU - Marine Desjonquères AU - Jean-Paul Larbre AU - Jean-Christophe Lega AU - Nicole Fabien AU - Alexandre Belot TI - Tocilizumab in the treatment of mixed connective tissue disease and overlap syndrome in children AID - 10.1136/rmdopen-2016-000271 DP - 2016 Sep 01 TA - RMD Open PG - e000271 VI - 2 IP - 2 4099 - http://rmdopen.bmj.com/content/2/2/e000271.short 4100 - http://rmdopen.bmj.com/content/2/2/e000271.full SO - RMD Open2016 Sep 01; 2 AB - Arthritis is one of the main manifestations of mixed connective tissue disease (MCTD) and overlap syndrome in children and can be responsible for functional disability. We report on 2 children with arthritis that were dramatically improved by a treatment with interleukin-6 (IL-6) blockers in the context of connective tissue disease. However, in both cases, other systemic autoimmune symptoms were not modified by the treatment and autoantibodies tend to increase, suggesting a differential effect of IL-6 inhibition on articular inflammation and systemic autoimmunity.