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CASE REPORT |
1 Department of Rheumatology, Jan van Breemen Institute, Amsterdam, The Netherlands, 2 Department of Rheumatology, VU University Medical Center, Amsterdam, The Netherlands, 3 Department of Internal Medicine, VU University Medical Center, Amsterdam, The Netherlands and 4 Department of Endocrinology/Diabetes Center, VU University Medical Center, PO Box 7057, 1007 MB, Boelelaan 1117, Amsterdam, The Netherlands
(Correspondence should be addressed to S Simsek; Email: Simsek{at}vumc.nl)
Abstract
Tumour necrosis factor
(TNF
) is a pro-inflammatory cytokine which has been closely linked to obesity and insulin resistance. We present two cases of patients with rheumatoid arthritis (RA) and concomitant diabetes mellitus, who showed a marked decrease of fructosamine levels after initiating therapy with adalimumab, a TNF
-blocking agent, for active RA. This finding may implicate that TNF
blockade causes better glycaemic control in RA patients with concomitant diabetes, possibly by improving insulin resistance.
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