Skip to main content
Top
Published in: BMC Ophthalmology 1/2018

Open Access 01-12-2018 | Research article

Interferon alpha-2a treatment for refractory Behcet uveitis in Korean patients

Authors: Ji Hwan Lee, Christopher Seungkyu Lee, Sung Chul Lee

Published in: BMC Ophthalmology | Issue 1/2018

Login to get access

Abstract

Background

To evaluate therapeutic outcomes of interferon alpha-2a (IFNα2a) treatment in patients with Behcet’s disease who were refractory to immunosuppressive agents.

Methods

This retrospective case series reviewed the medical records of 5 patients with refractory Behcet uveitis from January 2011 to February 2017. IFNα2a was administered at a dose of 3 million IU 3 times per week. Clinical response, relapse rate, and change of visual acuity were evaluated.

Results

The mean age of patients was 39.60 ± 9.21 years, and the median treatment duration was 6 months. Four of the 5 patients (80%) presented with responses to IFNα2a without any uveitis attack during the treatment period. The mean number of uveitis attacks/year per patient during the treatment was 0.40 ± 0.89. The mean log of the Minimum Angle of Resolution visual acuity improved from 1.44 ± 0.38 at baseline to 1.02 ± 0.58 at the final follow up.

Conclusions

IFNα2a is an effective therapy for Behcet uveitis refractory to conventional immunosuppressants in Korean patients.
Literature
1.
3.
go back to reference Masuda K, Nakajima A, Urayama A, Nakae K, Kogure M, Inaba G. Double-masked trial of cyclosporin versus colchicine and long-term open study of cyclosporin in Behcet's disease. Lancet Lon Engl. 1989;1(8647):1093–6.CrossRef Masuda K, Nakajima A, Urayama A, Nakae K, Kogure M, Inaba G. Double-masked trial of cyclosporin versus colchicine and long-term open study of cyclosporin in Behcet's disease. Lancet Lon Engl. 1989;1(8647):1093–6.CrossRef
4.
go back to reference Yazici H, Pazarli H, Barnes CG, Tuzun Y, Ozyazgan Y, Silman A, Serdaroglu S, Oguz V, Yurdakul S, Lovatt GE, et al. A controlled trial of azathioprine in Behcet's syndrome. N Engl J Med. 1990;322(5):281–5.CrossRefPubMed Yazici H, Pazarli H, Barnes CG, Tuzun Y, Ozyazgan Y, Silman A, Serdaroglu S, Oguz V, Yurdakul S, Lovatt GE, et al. A controlled trial of azathioprine in Behcet's syndrome. N Engl J Med. 1990;322(5):281–5.CrossRefPubMed
5.
go back to reference Wechsler B, Bodaghi B, Huong DL, Fardeau C, Amoura Z, Cassoux N, Piette JC, LeHoang P. Efficacy of interferon alfa-2a in severe and refractory uveitis associated with Behcet's disease. Ocul Immunol Inflamm. 2000;8(4):293–301.CrossRefPubMed Wechsler B, Bodaghi B, Huong DL, Fardeau C, Amoura Z, Cassoux N, Piette JC, LeHoang P. Efficacy of interferon alfa-2a in severe and refractory uveitis associated with Behcet's disease. Ocul Immunol Inflamm. 2000;8(4):293–301.CrossRefPubMed
6.
go back to reference Kotter I, Zierhut M, Eckstein AK, Vonthein R, Ness T, Gunaydin I, Grimbacher B, Blaschke S, Meyer-Riemann W, Peter HH, et al. Human recombinant interferon alfa-2a for the treatment of Behcet's disease with sight threatening posterior or panuveitis. Br J Ophthalmol. 2003;87(4):423–31.CrossRefPubMedPubMedCentral Kotter I, Zierhut M, Eckstein AK, Vonthein R, Ness T, Gunaydin I, Grimbacher B, Blaschke S, Meyer-Riemann W, Peter HH, et al. Human recombinant interferon alfa-2a for the treatment of Behcet's disease with sight threatening posterior or panuveitis. Br J Ophthalmol. 2003;87(4):423–31.CrossRefPubMedPubMedCentral
7.
go back to reference Krause L, Altenburg A, Pleyer U, Kohler AK, Zouboulis CC, Foerster MH. Longterm visual prognosis of patients with ocular Adamantiades-Behcet's disease treated with interferon-alpha-2a. J Rheumatol. 2008;35(5):896–903.PubMed Krause L, Altenburg A, Pleyer U, Kohler AK, Zouboulis CC, Foerster MH. Longterm visual prognosis of patients with ocular Adamantiades-Behcet's disease treated with interferon-alpha-2a. J Rheumatol. 2008;35(5):896–903.PubMed
8.
go back to reference Deuter CM, Zierhut M, Mohle A, Vonthein R, Stobiger N, Kotter I. Long-term remission after cessation of interferon-alpha treatment in patients with severe uveitis due to Behcet's disease. Arthritis Rheum. 2010;62(9):2796–805.CrossRefPubMed Deuter CM, Zierhut M, Mohle A, Vonthein R, Stobiger N, Kotter I. Long-term remission after cessation of interferon-alpha treatment in patients with severe uveitis due to Behcet's disease. Arthritis Rheum. 2010;62(9):2796–805.CrossRefPubMed
9.
go back to reference Sobaci G, Erdem U, Durukan AH, Erdurman C, Bayer A, Koksal S, Karagul S, Bayraktar MZ. Safety and effectiveness of interferon alpha-2a in treatment of patients with Behcet's uveitis refractory to conventional treatments. Ophthalmology. 2010;117(7):1430–5.CrossRefPubMed Sobaci G, Erdem U, Durukan AH, Erdurman C, Bayer A, Koksal S, Karagul S, Bayraktar MZ. Safety and effectiveness of interferon alpha-2a in treatment of patients with Behcet's uveitis refractory to conventional treatments. Ophthalmology. 2010;117(7):1430–5.CrossRefPubMed
10.
go back to reference Onal S, Kazokoglu H, Koc A, Akman M, Bavbek T, Direskeneli H, Yavuz S. Long-term efficacy and safety of low-dose and dose-escalating interferon alfa-2a therapy in refractory Behcet uveitis. Arch Ophthalmol. 2011;129(3):288–94.CrossRefPubMed Onal S, Kazokoglu H, Koc A, Akman M, Bavbek T, Direskeneli H, Yavuz S. Long-term efficacy and safety of low-dose and dose-escalating interferon alfa-2a therapy in refractory Behcet uveitis. Arch Ophthalmol. 2011;129(3):288–94.CrossRefPubMed
11.
go back to reference Yalcindag FN, Uzun A. Results of interferon alpha-2a therapy in patients with Behcet's disease. J Ocul Pharmacol Ther. 2012;28(4):439–43.CrossRefPubMed Yalcindag FN, Uzun A. Results of interferon alpha-2a therapy in patients with Behcet's disease. J Ocul Pharmacol Ther. 2012;28(4):439–43.CrossRefPubMed
12.
go back to reference Diwo E, Gueudry J, Saadoun D, Weschler B, LeHoang P, Bodaghi B. Long-term efficacy of interferon in severe uveitis associated with Behcet disease. Ocul Immunol Inflamm. 2017;25(1):76–84.CrossRefPubMed Diwo E, Gueudry J, Saadoun D, Weschler B, LeHoang P, Bodaghi B. Long-term efficacy of interferon in severe uveitis associated with Behcet disease. Ocul Immunol Inflamm. 2017;25(1):76–84.CrossRefPubMed
13.
go back to reference Hasanreisoglu M, Cubuk MO, Ozdek S, Gurelik G, Aktas Z, Hasanreisoglu B. Interferon alpha-2a therapy in patients with refractory Behçet uveitis. Ocul Immunol Inflamm. 2017;25(1):71–5.CrossRefPubMed Hasanreisoglu M, Cubuk MO, Ozdek S, Gurelik G, Aktas Z, Hasanreisoglu B. Interferon alpha-2a therapy in patients with refractory Behçet uveitis. Ocul Immunol Inflamm. 2017;25(1):71–5.CrossRefPubMed
14.
go back to reference International Study Group for Becet's Disease. Critertia for diagnosis of Behcet's disease. Lancet (London, England). 1990;335(8697):1078–80. International Study Group for Becet's Disease. Critertia for diagnosis of Behcet's disease. Lancet (London, England). 1990;335(8697):1078–80.
15.
go back to reference Jabs DA, Nussenblatt RB, Rosenbaum JT. Standardization of uveitis nomenclature for reporting clinical data. Results of the first international workshop. Am J Ophthalmol. 2005;140(3):509–16.CrossRefPubMed Jabs DA, Nussenblatt RB, Rosenbaum JT. Standardization of uveitis nomenclature for reporting clinical data. Results of the first international workshop. Am J Ophthalmol. 2005;140(3):509–16.CrossRefPubMed
16.
go back to reference Calvo-Rio V, Blanco R, Beltran E, Sanchez-Burson J, Mesquida M, Adan A, Hernandez MV, Hernandez Garfella M, Valls Pascual E, Martinez-Costa L, et al. Anti-TNF-alpha therapy in patients with refractory uveitis due to Behcet's disease: a 1-year follow-up study of 124 patients. Rheumatology (Oxford). 2014;53(12):2223–31.CrossRef Calvo-Rio V, Blanco R, Beltran E, Sanchez-Burson J, Mesquida M, Adan A, Hernandez MV, Hernandez Garfella M, Valls Pascual E, Martinez-Costa L, et al. Anti-TNF-alpha therapy in patients with refractory uveitis due to Behcet's disease: a 1-year follow-up study of 124 patients. Rheumatology (Oxford). 2014;53(12):2223–31.CrossRef
17.
go back to reference Papo M, Bielefeld P, Vallet H, Seve P, Wechsler B, Cacoub P, Le Hoang P, Papo T, Bodaghi B, Saadoun D. Tocilizumab in severe and refractory non-infectious uveitis. Clin Exp Rheumatol. 2014;32(4 Suppl 84):S75–9.PubMed Papo M, Bielefeld P, Vallet H, Seve P, Wechsler B, Cacoub P, Le Hoang P, Papo T, Bodaghi B, Saadoun D. Tocilizumab in severe and refractory non-infectious uveitis. Clin Exp Rheumatol. 2014;32(4 Suppl 84):S75–9.PubMed
18.
go back to reference Gueudry J, Wechsler B, Terrada C, Gendron G, Cassoux N, Fardeau C, Lehoang P, Piette JC, Bodaghi B. Long-term efficacy and safety of low-dose interferon alpha2a therapy in severe uveitis associated with Behcet disease. Am J Ophthalmol. 2008;146(6):837–44. e831CrossRefPubMed Gueudry J, Wechsler B, Terrada C, Gendron G, Cassoux N, Fardeau C, Lehoang P, Piette JC, Bodaghi B. Long-term efficacy and safety of low-dose interferon alpha2a therapy in severe uveitis associated with Behcet disease. Am J Ophthalmol. 2008;146(6):837–44. e831CrossRefPubMed
19.
go back to reference Park JY, Chung YR, Lee K, Song JH, Lee ES. Clinical experience of interferon alfa-2a treatment for refractory uveitis in Behcet's disease. Yonsei Med J. 2015;56(4):1158–62.CrossRefPubMedPubMedCentral Park JY, Chung YR, Lee K, Song JH, Lee ES. Clinical experience of interferon alfa-2a treatment for refractory uveitis in Behcet's disease. Yonsei Med J. 2015;56(4):1158–62.CrossRefPubMedPubMedCentral
20.
go back to reference Tugal-Tutkun I, Guney-Tefekli E, Urgancioglu M. Results of interferon-alfa therapy in patients with Behcet uveitis. Graefes Arch Clin Exp Ophthalmol. 2006;244(12):1692–5.CrossRefPubMed Tugal-Tutkun I, Guney-Tefekli E, Urgancioglu M. Results of interferon-alfa therapy in patients with Behcet uveitis. Graefes Arch Clin Exp Ophthalmol. 2006;244(12):1692–5.CrossRefPubMed
Metadata
Title
Interferon alpha-2a treatment for refractory Behcet uveitis in Korean patients
Authors
Ji Hwan Lee
Christopher Seungkyu Lee
Sung Chul Lee
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Ophthalmology / Issue 1/2018
Electronic ISSN: 1471-2415
DOI
https://doi.org/10.1186/s12886-018-0719-0

Other articles of this Issue 1/2018

BMC Ophthalmology 1/2018 Go to the issue