Granuloma annulare induced by anti-tumour necrosis factor therapy

dc.contributor.authorVoulgari, P. V.en
dc.contributor.authorMarkatseli, T. E.en
dc.contributor.authorExarchou, S. A.en
dc.contributor.authorZioga, A.en
dc.contributor.authorDrosos, A. A.en
dc.date.accessioned2015-11-24T19:14:33Z
dc.date.available2015-11-24T19:14:33Z
dc.identifier.issn1468-2060-
dc.identifier.urihttps://olympias.lib.uoi.gr/jspui/handle/123456789/21338
dc.rightsDefault Licence-
dc.subjectAgeden
dc.subjectAntibodies, Monoclonal/adverse effectsen
dc.subjectAntibodies, Monoclonal, Humanizeden
dc.subjectAntirheumatic Agents/*adverse effectsen
dc.subjectArthritis, Rheumatoid/*drug therapyen
dc.subjectDrug Eruptions/*etiology/pathologyen
dc.subjectFemaleen
dc.subjectGranuloma Annulare/*chemically induced/pathologyen
dc.subjectHumansen
dc.subjectImmunoglobulin G/adverse effectsen
dc.subjectMaleen
dc.subjectMiddle Ageden
dc.subjectReceptors, Tumor Necrosis Factoren
dc.subjectTumor Necrosis Factor-alpha/*antagonists & inhibitorsen
dc.titleGranuloma annulare induced by anti-tumour necrosis factor therapyen
heal.abstractOBJECTIVE: To describe granuloma annulare (GA) skin lesion development in patients during anti-tumour necrosis factor (TNF) therapy. METHODS: 199 patients with rheumatoid arthritis and 127 suffering from spondyloarthropathies treated with anti-TNF antagonists were analysed to identify skin lesions suggesting GA. RESULTS: Nine cases of GA during anti-TNF therapy (123 treated with infliximab, 57 with adalimumab and 17 with etanercept) for rheumatoid arthritis were identified. Two have been treated with infliximab, six with adalimumab and one with etanercept, and here the development of GA was 4.5%. No patient with spondyloarthropathies developed such skin lesions. All patients developed the generalised form of GA. None had or developed diseases, or conditions known to be associated with GA. In seven patients the skin eruptions developed during the first year of anti-TNF treatment, while they developed in two patients during the second year. Two patients had to stop anti-TNF therapy due to the extent of skin lesions. All patients responded well to the local corticosteroid therapy. CONCLUSIONS: Our series strongly supports a link between TNF inhibition and the development of GA in some patients. When dealing with patients on these agents physicians should be aware of possible adverse events and the potential development of such complications.en
heal.accesscampus-
heal.fullTextAvailabilityTRUE-
heal.identifier.primary10.1136/ard.2007.075663-
heal.identifier.secondaryhttp://www.ncbi.nlm.nih.gov/pubmed/17728330-
heal.identifier.secondaryhttp://ard.bmj.com/content/67/4/567-
heal.journalNameAnn Rheum Disen
heal.journalTypepeer-reviewed-
heal.languageen-
heal.publicationDate2008-
heal.recordProviderΠανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικήςel
heal.typejournalArticle-
heal.type.elΆρθρο Περιοδικούel
heal.type.enJournal articleen

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