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. 2019 Jan 2;100(3):609–616. doi: 10.4269/ajtmh.18-0795

Table 3.

Overview of extraparenchymal patients

Patient number Age (years) Gender Years followed at NIH Duration of etanercept (days) Followed up post-etanercept (year) Etanercept dose (mg/week) Use of cysticidal medication(s) with etanercept Disease type Reason for etanercept Medication regimens Outcome
2 35 M 4.1 31 0.0 50 Yes SUBNCC Failed corticosteroid taper, added immunosuppression and sparing Corticosteroids + methotrexate to corticosteroids + methotrexate + 50 mg etanercept Short-term improvement. lost to follow-up at 31 days
4 41 F 0.4 NA NA 50 Yes Spinal SUBNCC Failed corticosteroid taper + anakinra, added immunosuppression and corticosteroid sparing Corticosteroids + anakinra to corticosteroids + 50 mg etanercept + anakinra Tapered from 29 mg prednisone to 0.5 mg with mild improvement of symptoms due to spinal disease. Continues on etanercept
6 41 F 5.0 41 4.9 25 Yes SUBNCC Added immuosuppression, corticosteroid sparing Corticosteroids + methotrexate + 25 mg etanrecept to corticosteroids Improved short term but on taper developed neurological symptoms controlled on high-dose corticosteroids alone
7 51 M 1.6 380 0.3 50 Yes SUBNCC Corticosteroid replacement for corticosteroid psychosis 50 mg etanercept Dramatic clinical improvement
8 57 M 0.7 NA NA 50 Yes SUBNCC, spinal Added immunosuppression, corticosteroid replacement, and sparing Corticosteroids to corticosteroids + 50 etanercept Still on etanercept, moderate clinical improvement of pain due to spine involvement
9 41 F 4.0 699 2.1 25,50 Yes SUBNCC, ventricular Failed corticosteroid taper, added immunosuppression and sparing Corticosteroids to corticosteroids + methotrexate to corticosteroids + methotrexate + 50 mg etanercept to 50 mg etanercept Taper successful after the dose of etanercept was increased and did well on etanercept alone
10 30 M 3.6 272 2.6 25 Yes SUBNCC, calcification Failed corticosteroid taper, added immunosuppression and sparing Corticosteroids to corticosteroids + 25 mg etanercept Taper successful after the dose of etanercept was increased and did well on etanercept alone
11 37 M 6.6 229 5.6 25 Yes SUBNCC, calcifications Failed corticosteroid taper + methotrexate, added immunosuppression and sparing Corticosteroids + methotrexate to 25 mg etanrecept + corticosteroids + methotrexate + 25 mg etanercept to methotrexate + 25 mg etanercept Taper successful and avoided worsening in avascular necrosis on corticosteroid side effects
12 26 M 8.0 461 5.6 25 Yes SUBNCC Failed corticosteroid taper, added immunosuppression and sparing Corticosteroids to corticosteroids + methotrexate to corticosteroids + methotrexate + 25 mg etanercept + methotrexate to 25 mg etanercept + corticosteroids to 25 mg etanercept Taper successful and avoided further worsening of avascular necrosis of the hip
13 41 M 4.9 350 3.2 25 Yes SUBNCC Added immunosuppression Corticosteroids to 25 mg etanercept corticosteroids + methotrexate to 25 mg etanercept to methotrexate to methotrexate Developed large vessel stroke after completing therapy, resulting in retreatment that avoided additional vascular complications
14 28 M 6.3 356 4.6 25 No Ventricular calcifications Added immunosuppression and corticosteroid sparing Corticosteroids to corticosteroids + methotrexate + 25 mg etanercept to corticosteroid + 25 mg etanercept to 25 mg etanercept Taper successful and on prolonged etanercept with loss of priventricular edema and associated symptoms
15 39 F 4.7 210 3.4 25 No SUBNCC Failed corticosteroid taper, added immunosuppression, and replacement Corticosteroids + methotrexate to 25 mg etanercept + corticosteroids + methotrexate + 25 mg etanercept to methotrexate Taper successful with improved symptoms and loss of corticosteroid side effects, although improved still has headaches and depression, but no further transient episodes of hemiparalysis

NIH = National Institutes of Health; SUBNCC = subarachnoid neurocysticercosis.