title: Induction of clinical remission with adalimumab-methotrexate combination therapy in a patient with rheumatoid arthritis and concomitant hepatitis C virus infection.
abstract: The patient described here is a 49-year-old woman who had hepatitis C virus (HCV) infection and rheumatoid arthritis (RA). Her RA had been successfully managed with methotrexate for about 10 years. After a sustained virological response was achieved with interferon therapy, treatment with adalimumab was instituted. This resulted in a rapid and sustained remission that lasted for more than a year, without HCV reactivation. The results in this case suggest that a sequential strategy, with initial HCV clearance followed by the targeting of remission with biologics, may be a favorable option in patients with RA and concomitant HCV infection.
authors: Department of Rheumatology, Gennoki Clinic, 2680-1 Nishiharuchika, Ina, Nagano 399-4431, Japan. gennoki@inacatv.ne.jp
authors: Osamu
authors: O
authors: Noguchi
authors: Yukio
authors: Y
authors: Gibo