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古塞库单抗治疗掌跖银屑病引起钱币状皮炎。

Nummular dermatitis on guselkumab for palmoplantar psoriasis.

机构信息

Division of Dermatology, Department of Medicine, David Geffen School of Medicine, University of California, Los Angeles, California.

Department of Dermatology, University of California Davis School of Medicine, Sacramento, California.

出版信息

Dermatol Ther. 2019 Jul;32(4):e12954. doi: 10.1111/dth.12954. Epub 2019 May 20.

DOI:10.1111/dth.12954
PMID:31070862
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6688931/
Abstract

A 40-year-old man with chronic history of refractory palmoplantar psoriasis presented with new onset of well-demarcated oval erythematous asteatotic plaques on bilateral shins after starting guselkumab therapy. Histopathology revealed chronic spongiotic dermatitis consistent with a diagnosis of nummular dermatitis. This case highlights a previously unreported adverse event to guselkumab therapy.

摘要

一位 40 岁男性,慢性难治性掌跖银屑病病史,在开始使用古塞库单抗治疗后,双侧小腿出现新的边界清楚的卵圆形红斑性非湿疹性斑块。组织病理学显示慢性海绵状皮炎,符合钱币状皮炎的诊断。本病例突出了古塞库单抗治疗的一种先前未报道的不良反应。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/553c/6688931/49f96cefe5f1/nihms-1029842-f0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/553c/6688931/a1f5c9495a8b/nihms-1029842-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/553c/6688931/49f96cefe5f1/nihms-1029842-f0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/553c/6688931/a1f5c9495a8b/nihms-1029842-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/553c/6688931/49f96cefe5f1/nihms-1029842-f0002.jpg

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本文引用的文献

1
Efficacy and Safety of Guselkumab, an Anti-interleukin 23 Monoclonal Antibody, for Palmoplantar Pustulosis: A Randomized Clinical Trial.古塞奇尤单抗(一种抗白细胞介素 23 单克隆抗体)治疗掌跖脓疱病的疗效和安全性:一项随机临床试验。
JAMA Dermatol. 2018 Mar 1;154(3):309-316. doi: 10.1001/jamadermatol.2017.5937.
2
Patients with palmoplantar pustulosis have increased IL-17 and IL-22 levels both in the lesion and serum.掌跖脓疱病患者皮损和血清中白细胞介素 17 和白细胞介素 22 水平升高。
Exp Dermatol. 2011 Oct;20(10):845-7. doi: 10.1111/j.1600-0625.2011.01325.x. Epub 2011 Jul 7.
3
Increased peripheral Th17 in patients with pustulosis palmaris et plantaris.掌跖脓疱病患者外周血 Th17 增加。
Arch Dermatol Res. 2011 Aug;303(6):441-4. doi: 10.1007/s00403-010-1112-x. Epub 2011 Jan 13.
4
Severe, generalized nummular eczema secondary to interferon alfa-2b plus ribavirin combination therapy in a patient with chronic hepatitis C virus infection.一名慢性丙型肝炎病毒感染患者在接受干扰素α-2b与利巴韦林联合治疗后出现严重的全身性钱币状湿疹。
Arch Dermatol. 2004 Feb;140(2):215-7. doi: 10.1001/archderm.140.2.215.
5
Nummular eczema during isotretinoin treatment.异维A酸治疗期间的钱币状湿疹
J Am Acad Dermatol. 1987 Mar;16(3 Pt 1):617. doi: 10.1016/s0190-9622(87)80093-2.