RMD Open (Sep 2020)

Mixed results with baricitinib in biological-resistant adult-onset Still’s disease and undifferentiated systemic autoinflammatory disease

  • Maya H Buch,
  • Sinisa Savic,
  • Dennis G McGonagle,
  • Mark Kacar,
  • John Fitton,
  • Andrew K Gough

DOI
https://doi.org/10.1136/rmdopen-2020-001246
Journal volume & issue
Vol. 6, no. 2

Abstract

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This clinical case series describes our experience with the use of Janus kinase 1/2 inhibitor baricitinib in two patients suffering from refractory adult-onset Still’s disease (AOSD) as well as in one case suffering from AOSD-like autoinflammatory disease in the context of myelodysplastic syndrome. All patients suffered from disease non-responsive to conventional Disease-modifying antirheumatic drugs (DMARDs) as well as biological therapies including interleukin (IL)-1 and IL-6 blockade, relying instead on high daily doses of prednisolone. We also report the first case of Pneumocystis jirovecii infection following baricitinib use.