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. 2022 Jun 26;4(8):100504. doi: 10.1016/j.xkme.2022.100504

Table 1.

Summary of Published Cases of Biopsy-Confirmed AA-Amyloid Kidney Disease in Patients With Rheumatoid Arthritis Treated With Tocilizumab and Reported Outcomes

Reference Age (y) Sex Presentation Treatment Dose (mg/kg/mo) Treatment Duration (mo) Concurrent Treatment Response
Vinicki et al (2013)45 48 F 5.0 g/24 h proteinuria 8 24 None 0.5 g proteinuria/24 h
Matsui et al (2014)46 60 F Progressive kidney dysfunction 8 36 None Persistent deposition on biopsy, progression to kidney failure
Yamada et al (2014)47 71 F Nephrotic syndrome, 4.3 g/24 h proteinuria 8 10 Losartan Resolved proteinuria at 3 mo
Courties et al (2015)44 52 F 9.0 g/24 h proteinuria 8 8 Glucocorticoids Progression to kidney failure within 20 mo
70 F 8.4 g/24 h proteinuria 8 3 Glucocorticoids Stable eGFR, 0.5 g/24 h proteinuria
47 M 10.0 g/24 h proteinuria 8 6 Colchicine Progression to kidney failure within 6 mo
80 F 4.0 g/24 h proteinuria 8 34 Glucocorticoids Improved eGFR, progression to 6.0 g/24 h proteinuria
80 F 2.1 g/24 h proteinuria 8 32 Glucocorticoids Stable eGFR, 0.09 g/24 h proteinuria
73 M 8.0 g/24 h proteinuria 8 6 Glucocorticoids Stable eGFR, 4.7 g/24 h proteinuria
Iijima et al (2015)48 51 F Nephrotic syndrome, 5.2 g/24 h proteinuria and RPGN 8 18 None Improved eGFR, 1.2 g/24 h proteinuria
Yamagata et al (2017)49 67 F Urinary protein excretion of 7.5 g per gram urinary creatinine Not reported 10 None 0.5 g/24 h proteinuria
Fukuda et al (2020)50 59 F Nephrotic syndrome, 6.5 g/24 h proteinuria 8 24 None 1.1g/24 h proteinuria
71 M 0.06 g/24 h proteinuria 8 60 None Glomerular amyloid deposits unchanged on repeat biopsy (at 2 y)

Abbreviations: AA, serum amyloid A protein; eGFR, estimated glomerular filtration rate; F, female; M, male; RPGN, rapidly progressive glomerulonephritis.