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司库奇尤单抗成功治疗红皮病型银屑病和银屑病关节炎并伴有严重非感染性葡萄膜炎:一例报告

Successful secukinumab treatment of erythrodermic psoriasis and psoriatic arthritis concomitant with severe noninfectious uveitis: a case report.

作者信息

Lu Jiajing, Tang Suwei, Yu Ning, Yi Xuemei, Li Ying

机构信息

Department of Dermatology, Shanghai Skin Disease Hospital, Tongji University School of Medicine, Shanghai, China.

出版信息

J Int Med Res. 2020 Nov;48(11):300060520969494. doi: 10.1177/0300060520969494.

Abstract

Uveitis is considered a relatively rare but serious ocular complication of psoriasis. We report the first successful treatment of severe noninfectious uveitis with secukinumab in a 70-year-old woman with erythrodermic psoriasis and psoriatic arthritis. Anti-tumor necrosis factor (TNF) agents were administered for 5 years for the treatment of erythrodermic psoriasis and psoriatic arthritis. Although the symptoms improved, she later developed noninfectious uveitis, resulting in a sharp decline in vision. After switching to secukinumab, her vision slightly improved, her skin lesions subsided, and her joint symptoms were relieved. Given the rarity of psoriasis combined with uveitis, it is unclear whether uveitis is related to anti-TNF therapy. In addition, the selection of effective biological agents for the treatment of uveitis remains a challenge and requires extensive clinical experience.

摘要

葡萄膜炎被认为是银屑病一种相对罕见但严重的眼部并发症。我们报告了首例用司库奇尤单抗成功治疗一名70岁红皮病型银屑病和银屑病关节炎女性患者的重度非感染性葡萄膜炎的病例。抗肿瘤坏死因子(TNF)药物用于治疗红皮病型银屑病和银屑病关节炎达5年。尽管症状有所改善,但她后来患上了非感染性葡萄膜炎,导致视力急剧下降。改用司库奇尤单抗后,她的视力略有改善,皮肤病变消退,关节症状缓解。鉴于银屑病合并葡萄膜炎的罕见性,尚不清楚葡萄膜炎是否与抗TNF治疗有关。此外,选择有效的生物制剂治疗葡萄膜炎仍然是一项挑战,需要丰富的临床经验。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e6d7/7658516/c05704d67eec/10.1177_0300060520969494-fig1.jpg

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