Table 1.
Patient No. | Sex | Age at thalidomide treatment | Disease duration before thalidomide | Age at ATT treatment | Disease distribution | Extra-intestinal symptoms | TB status before ATT | ATT medications and duration | Thalidomide starting dose | Thalidomide final dose (duration) | Follow-up time (mo) | Response |
1 | M | 2 yr 8 mo | 26 mo | 1 yr 3 mo | Ileocolonic | Joint lesions | AFB (+), PPD (+) | HRZ, 6 m; | 2.5 mg/kg per day | - (34 m) | 38 mo | Remission |
HRZEP, 6 mo | ||||||||||||
2 | F | 2 yr | 23 mo | 2 mo | Colon | Perianal abscess | AFB (+) | HRZ, 3 mo; | 2.5 mg/kg per day | - (7 m) | 10 mo | No response |
HR, 15 mo | ||||||||||||
3 | F | 2 yr 4 mo | 28 mo | 7 mo | Colon | Perianal abscess | AFB (+) | HRZ, 9 mo; | 2 mg/kg per day | 0.33 mg/kg per day | 33 mo | Response |
HREP, 27 mo | ||||||||||||
4 | F | 11 yr 7 mo | 42 mo | 8 yr 1 mo | Ileocolonic | Perianal skin tag | AFB (+) | HREZ, 12 mo | 1.8 mg/kg per day | 0.8 mg/kg per day | 15 mo | Response |
5 | M | 12 yr 6 mo | 18 mo | 11 yr 3 mo | Ileocolonic | Oral ulcers | TB culture (+), | HRS, 5 mo; | 2 mg/kg per day | 0.5 mg/kg per day | 36 mo | Remission |
Spleen TB | HRE, 12 mo | |||||||||||
6 | M | 12 yr 5 mo | 20 mo | 11 yr 5 mo | Ileocolonic | Anal fistula | AFB (+) | HRZ, 12 mo | 1.2 mg/kg per day | 0.6 mg/kg per day | 12 mo | Remission |
7 | M | 8 yr 6 mo | 38 mo | 5 yr 4 mo | Ileal | Pleural and ascetic fluid | PPD (+) | HRE, 3 mo; | 2 mg/kg per day | - (44 m) | 44 mo | Remission |
HRZ, 12 mo | ||||||||||||
8 | F | 3 yr 8 mo | 16 mo | 2 yr 4 mo | Ileocolonic | - | AFB (+) | HRZ, 14 mo; | 2 mg/kg per day | 1.6 mg/kg per day | 16 mo | Response |
HRE, 12 mo | ||||||||||||
9 | F | 2 yr 4 mo | 16 mo | 1 yr | Ileocolonic | Anal fissure | AFB (+) | HRZ, 14 mo | 2.2 mg/kg per day | 1.8 mg/kg per day | 9 mo | Remission |
10 | F | 13 yr 6 mo | 17 mo | 12 yr 1 mo | Ileocolonic | Perianal skin tag | AFB (+) | HREZ, 3 mo; | 1.8 mg/kg per day | 1.3 mg/kg per day | 9 mo | Remission |
HR, 15 mo |
ATT: Anti-tubercular treatment; H: Isoniazid; R: Rifampicin; Z: Pyrazinamide; E: Ethambutol; S: Streptomycin; P: Para-aminosalicylic acid.