Table 1.
Clinical characteristics of patients
| Control | Rheumatoid arthritis | Ankylosing spondylitis | |
| Number of patients | 30 | 24 | 15 |
| Mean age, years (range) | 63 (30–83) | 56 (26–77) | 41 (26–57) |
| Number of women (%) | 23 (76.7) | 16 (66.7) | 4 (26.7) |
| Disease duration, years (range) | 7.4 (1–22) | 12 (3–32) | 17 (6–30) |
| Infliximab treatment (mg/kg) | 0 | 3 | 5 |
| Concomitant medication | |||
| Number of patients with | |||
| NSAID | 22 | 10 | 5 |
| Corticosteroids | 19 | 19 | 8 |
| Methotrexate | 30 | 24 | 6 |
| Side effects | |||
| Number of patients with | |||
| Allergy | 3 Ma, 1 Sa | 1 Sa | |
| Infections | 2 Ma, 2 Sa | 2 Ma, 1 Sa | |
| Other (amyloidosis) | 0 | 3 Ma | |
| Inefficacy of treatment | |||
| Number of patients | 2 | 2 | |
| Months 8 and 10 | Months 5 and 7 |
AS, ankylosing spondylitis; NSAID, non-steroidal anti-inflammatory drugs; RA, rheumatoid arthritis.
aSignificant side effects and inefficacy that could lead to infliximab discontinuation. If side effects were severe (S), infliximab was stopped; thus nine patients discontinued infliximab treatment before the end of the study, between 3 and 18 months in 5 RA and 2 AS patients. If moderate (M), infliximab was continued. The severe infections were pulmonary tuberculosis (RA), septic pericarditis (AS) and Streptococcus bovis endocarditis (RA). Two severe anaphylactic reactions during infliximab infusion (1 RA, 1 AS) led to discontinuation of treatment and in one case (RA) required resuscitation. Three patients with severe long-standing AS were suspected of amyloidosis at the start of infliximab treatment because of nephritic proteinuria. The diagnosis was confirmed by renal biopsy and the infusion carried out.