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Le malattie autoinfiammatorie in pediatria-Brachi.pdf

Le malattie autoinfiammatorie in pediatria-Brachi.pdf

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TERAPIA HIDS<br />

STEROIDI e FANS durante l’ attacco<br />

Gli attacchi febbrili della HIDS generalmente presentano una<br />

pronta risposta ad una s<strong>in</strong>gola somm<strong>in</strong>istrazione di steroide:<br />

-Prednisone 1 mg/Kg<br />

-Betametasone 0,1 mg/kg<br />

Nei pz con fenotipo cl<strong>in</strong>ico più grave, steroido-dipendenti,<br />

prendere <strong>in</strong> considerazione:<br />

Colchic<strong>in</strong>a<br />

Etanercept<br />

Anak<strong>in</strong>ra<br />

Simvastat<strong>in</strong>aelp<br />

Rheumatol Int. 2012 Jan;32(1):249-51. “Etanercept and anak<strong>in</strong>ra can prolong febrile episodes <strong>in</strong><br />

patients with hyperimmunoglobul<strong>in</strong> D and periodic fever syndrome. Shendi HM, Walsh D, Edgar JD.

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