Publications by authors named "Toshitaka Yukishima"

Purpose: To investigate the impact of baseline total N-terminal propeptide of procollagen (PINP) levels on increases in bone mineral density (BMD) after treatment with romosozumab (ROMO), teriparatide (TPTD), and denosumab (DMAb) in patients with treatment naïve primary osteoporosis.

Methods: This multicenter, retrospective cohort study included 462 treatment-naïve patients (88.7 % female; mean age, 75.

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Immunoglobulin G4-related disease (IgG4-RD) is a systemic rheumatic disease characterised by the infiltration of IgG4-positive plasma cells and swelling or hypertrophic lesions in various organs. IgG4-RD also involves optic lesions, which is known as IgG4-related ophthalmic disease (IgG4-ROD). IgG4-ROD involves the surrounding tissues, causing optic neuropathy when it affects the optic nerve.

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Objectives: To evaluate the effects of baricitinib, a Janus kinase inhibitor, versus sarilumab, a human monoclonal antibody against the IL-6 receptor, on the disease activity of patients with RA.

Methods: At our hospital and cooperative facilities, we initiated treatment with baricitinib and sarilumab and observed patients with RA longitudinally for 52 weeks. Propensity score matching (age, sex, disease duration, MTX/glucocorticoid usage, RF/ACPA positivity and Disease Activity Score 28 with CRP level) was performed to address potential treatment selection bias, resulting in 46 patients in each group.

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Eosinophilic granulomatosis with polyangiitis (EGPA) is a rare necrotising vasculitis affecting small vessels accompanied by eosinophilic inflammation. Biological therapies, particularly anti-interleukin-5 (IL-5) monoclonal antibodies, have been shown to be effective in treating refractory EGPA. Mepolizumab, an anti-IL-5 monoclonal antibody, has been approved in Japan for the treatment of EGPA and has a significant glucocorticoid-sparing effect.

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Unlabelled: This case-control study investigated the impact of switching from bisphosphonates to denosumab, teriparatide, or romosozumab in postmenopausal osteoporosis. Romosozumab demonstrated the most significant improvements in bone mineral density, particularly in the lumbar spine and total hip, by reducing bone resorption and increasing bone formation markers.

Purpose: To investigate the impact of switching from bisphosphonates (BP) to denosumab (DMAb), teriparatide (TPTD), or romosozumab (ROMO) in postmenopausal osteoporosis.

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Pyoderma gangrenosum (PG) is a rare chronic skin disease characterized by painful skin ulcers. There are no treatment guidelines for PG; however, systemic treatment is often administered. Recently, adalimumab (ADA), a fully human monoclonal antibody against tumour necrosis factor, was approved for the treatment of refractory PG in Japan.

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Article Synopsis
  • - The study evaluated the effectiveness of switching osteoporosis treatments between two bone formation-promoting agents, teriparatide and romosozumab, in a cohort of 94 patients over 12 months.
  • - The results showed that patients transitioning from teriparatide to romosozumab (T2R group) had significant increases in bone mineral density (BMD) across various sites, while those switching from romosozumab to teriparatide (R2T group) experienced no significant change.
  • - The findings suggest that switching from teriparatide to romosozumab leads to better outcomes for increasing BMD compared to the reverse sequence, highlighting a more effective treatment strategy for osteoporosis.
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  • The study aimed to compare the effectiveness and safety of low-dose sulfamethoxazole/trimethoprim (SMX/TMP) for preventing Pneumocystis jirovecii pneumonia (PCP) in patients with systemic rheumatic disease (SRD) on glucocorticoids.
  • A total of 186 Japanese patients were analyzed, with no cases of PCP reported in either the low-dose or conventional-dose groups after one year, although two in the low-dose needed an increased dose.
  • The results indicated that low-dose SMX/TMP was as effective as conventional dosage for PCP prevention while resulting in lower discontinuation rates and fewer severe adverse drug reactions.
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Coronavirus disease 2019 (COVID-19) vaccines are effective in reducing the prevalence of this disease. However, some patients develop autoimmune diseases after vaccination. We herein report a case of elderly onset intestinal Behçet's disease (BD) with trisomy 8 following COVID-19 vaccination in which the disease was exacerbated by COVID-19 infection.

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Polyarteritis nodosa (PAN) is a systemic rheumatic disease that affects medium-sized arteries. PAN is typically not associated with anti-neutrophil cytoplasmic antibodies and has no serological surrogate markers. Therefore, its diagnosis requires pathological findings.

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Article Synopsis
  • - COVID-19 vaccines are effective at reducing disease severity, but some individuals may develop systemic rheumatic diseases post-vaccination, including giant cell arteritis (GCA).
  • - A case study highlights a 73-year-old woman who experienced symptoms like headache and jaw pain shortly after her seventh COVID-19 mRNA vaccine dose, eventually leading to vision problems due to ischemic optic neuropathy.
  • - The patient was diagnosed with GCA and received treatment, responding mildly to high-dose glucocorticoids and tocilizumab, which emphasizes the importance of monitoring such cases following vaccination.
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A 67-year-old woman with anti-neutrophil cytoplasmic autoantibody (ANCA)-associated vasculitis was not vaccinated against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and was on multiple immunosuppressive drugs. She was hospitalized because of interstitial shadowing in the lungs and diagnosed with persistent coronavirus disease 2019 (COVID-19). Despite treatment with a recombinant monoclonal antibody and antivirals, her symptoms persisted and she lacked a specific antibody response.

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