A case of lupus‐like syndrome in a patient receiving adalimumab and a brief review of the literature on drug‐induced lupus erythematosus

Summary What is known and objective Drug‐induced lupus erythematosus occurs with some drugs and resolves with their withdrawal. Anti‐TNF therapies have been found to be associated with a lupus‐like syndrome, which is clinically distinct from classical drug‐induced as well as idiopathic lupus erythem...

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Veröffentlicht in:Journal of clinical pharmacy and therapeutics 2017-06, Vol.42 (3), p.363-366
Hauptverfasser: Lomicová, I., Suchý, D., Pizinger, K., Cetkovská, P.
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container_end_page 366
container_issue 3
container_start_page 363
container_title Journal of clinical pharmacy and therapeutics
container_volume 42
creator Lomicová, I.
Suchý, D.
Pizinger, K.
Cetkovská, P.
description Summary What is known and objective Drug‐induced lupus erythematosus occurs with some drugs and resolves with their withdrawal. Anti‐TNF therapies have been found to be associated with a lupus‐like syndrome, which is clinically distinct from classical drug‐induced as well as idiopathic lupus erythematosus. Case description We describe a case of a patient with severe psoriasis, who developed muscle pain with paraesthesia accompanied by ANA titres elevation with adalimumab treatment. The condition resolved after adalimumab cessation, and the patient was started on ustekinumab with good results. What is new and conclusion Ustekinumab might be a useful treatment option for patients with a history of TNF‐induced lupus‐like syndrome. Drug‐induced lupus erythematosus is a lupus‐like syndrome similar to idiopathic lupus erythematosus that occurs when certain drugs are taken and resolves after their withdrawal. Anti‐TNF α therapies have been found to be associated with a lupus‐like syndrome, which is clinically distinct from both classical drug‐induced lupus erythematosus and idiopathic form. We describe a case of a female patient with severe psoriasis, who developed muscle pain with paraesthesia accompanied by ANA titres elevation under adalimumab treatment. The condition resolved after adalimumab cessation.
doi_str_mv 10.1111/jcpt.12506
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Anti‐TNF therapies have been found to be associated with a lupus‐like syndrome, which is clinically distinct from classical drug‐induced as well as idiopathic lupus erythematosus. Case description We describe a case of a patient with severe psoriasis, who developed muscle pain with paraesthesia accompanied by ANA titres elevation with adalimumab treatment. The condition resolved after adalimumab cessation, and the patient was started on ustekinumab with good results. What is new and conclusion Ustekinumab might be a useful treatment option for patients with a history of TNF‐induced lupus‐like syndrome. Drug‐induced lupus erythematosus is a lupus‐like syndrome similar to idiopathic lupus erythematosus that occurs when certain drugs are taken and resolves after their withdrawal. Anti‐TNF α therapies have been found to be associated with a lupus‐like syndrome, which is clinically distinct from both classical drug‐induced lupus erythematosus and idiopathic form. We describe a case of a female patient with severe psoriasis, who developed muscle pain with paraesthesia accompanied by ANA titres elevation under adalimumab treatment. 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Anti‐TNF therapies have been found to be associated with a lupus‐like syndrome, which is clinically distinct from classical drug‐induced as well as idiopathic lupus erythematosus. Case description We describe a case of a patient with severe psoriasis, who developed muscle pain with paraesthesia accompanied by ANA titres elevation with adalimumab treatment. The condition resolved after adalimumab cessation, and the patient was started on ustekinumab with good results. What is new and conclusion Ustekinumab might be a useful treatment option for patients with a history of TNF‐induced lupus‐like syndrome. Drug‐induced lupus erythematosus is a lupus‐like syndrome similar to idiopathic lupus erythematosus that occurs when certain drugs are taken and resolves after their withdrawal. Anti‐TNF α therapies have been found to be associated with a lupus‐like syndrome, which is clinically distinct from both classical drug‐induced lupus erythematosus and idiopathic form. 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Anti‐TNF therapies have been found to be associated with a lupus‐like syndrome, which is clinically distinct from classical drug‐induced as well as idiopathic lupus erythematosus. Case description We describe a case of a patient with severe psoriasis, who developed muscle pain with paraesthesia accompanied by ANA titres elevation with adalimumab treatment. The condition resolved after adalimumab cessation, and the patient was started on ustekinumab with good results. What is new and conclusion Ustekinumab might be a useful treatment option for patients with a history of TNF‐induced lupus‐like syndrome. Drug‐induced lupus erythematosus is a lupus‐like syndrome similar to idiopathic lupus erythematosus that occurs when certain drugs are taken and resolves after their withdrawal. Anti‐TNF α therapies have been found to be associated with a lupus‐like syndrome, which is clinically distinct from both classical drug‐induced lupus erythematosus and idiopathic form. 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subjects Adalimumab - administration & dosage
Adalimumab - adverse effects
Adult
Anti-Inflammatory Agents - administration & dosage
Anti-Inflammatory Agents - adverse effects
anti‐TNF treatment
drug‐induced lupus erythematosus
Female
Humans
Lupus Erythematosus, Systemic - chemically induced
lupus‐like syndrome
Psoriasis - drug therapy
Psoriasis - pathology
Severity of Illness Index
Tumor Necrosis Factor-alpha - antagonists & inhibitors
ustekinumab
Ustekinumab - therapeutic use
title A case of lupus‐like syndrome in a patient receiving adalimumab and a brief review of the literature on drug‐induced lupus erythematosus
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