Wehrmann C, Sondermann W, Körber A
Klinik und Poliklinik für Dermatologie, Venerologie und Allergologie, Universitätsklinikum Essen, Hufelandstr. 55, 45122, Essen, Deutschland.
Hautarzt. 2018 Jan;69(1):64-66. doi: 10.1007/s00105-017-4071-8.
We report about a 52-year-old woman with onset of drug-induced lupus erythematosus (DILE) in sun-exposed areas, under therapy with secukinumab. Topical therapy with a steroid class 3 for 4 weeks showed substantial improvement. The systemic therapy was switched to ustekinumab. DILE is a rare but notable side effect of biologicals in 0.5-1% of the patients and also possible under therapy with IL-17 inhibition. Switch of the biological agent is necessary in most cases.
我们报告了一名52岁女性,在接受司库奇尤单抗治疗期间,在阳光暴露部位出现药物性红斑狼疮(DILE)。使用3级类固醇进行局部治疗4周后有显著改善。全身治疗改为使用优特克单抗。DILE是生物制剂罕见但值得注意的副作用,在0.5%-1%的患者中出现,在IL-17抑制治疗下也有可能发生。在大多数情况下,更换生物制剂是必要的。