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Annals of the Rheumatic Diseases 2004;63:1538-1543
© 2004 by BMJ Publishing Group Ltd & European League Against Rheumatism


REVIEW

Anti-tumour necrosis factor {alpha} therapy in rheumatoid arthritis: an update on safety

K L Hyrich , A J Silman , K D Watson , D P M Symmons

ARC Epidemiology Unit, University of Manchester, UK

Correspondence to:
Correspondence to:
Professor A J Silman
ARC Epidemiology Unit, Stopford Building, University of Manchester, Oxford Road, Manchester M13 9PT, UK; alan.Silman{at}man.ac.uk


ABSTRACT
Anti-TNF{alpha} therapy may have associated risks of serious infection, congestive heart failure, malignancy, and multiple sclerosis. The magnitude of these risks is difficult to assess. This article reviews publications on the current knowledge about the safety of these agents.


Abbreviations: ANA, antinuclear antibody; CHF, congestive heart failure; DMARD, disease modifying antirheumatic drug; dsDNA, double stranded DNA; FDA, Federal Drug Administration; MS, multiple sclerosis; RA, rheumatoid arthritis; SLE, systemic lupus erythematosus; TB, tuberculosis; TNF{alpha}, tumour necrosis factor {alpha}

Keywords: anti-tumour necrosis factor {alpha}; rheumatoid arthritis; safety




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