author_facet Palazzo, Giovanni
Palazzo, Giovanni
author Palazzo, Giovanni
spellingShingle Palazzo, Giovanni
Oxford Medical Case Reports
Resolution of post-adalimumab vitiligo with secukinumab in a patient with psoriasis vulgaris
Infectious Diseases
Microbiology
Parasitology
author_sort palazzo, giovanni
spelling Palazzo, Giovanni 2053-8855 Oxford University Press (OUP) Infectious Diseases Microbiology Parasitology http://dx.doi.org/10.1093/omcr/omz134 <jats:title>Abstract</jats:title> <jats:p>Plaque psoriasis is a chronic debilitating condition, and biologic agents that inhibit tumor necrosis factor-α (TNF-α) are widely employed in management of the condition. Notwithstanding, several paradoxical adverse reactions have been reported with TNF-α inhibitors, including vasculitis, vitiligo, alopecia areata, sarcoidosis and other granulomatous diseases. Herein, we report the case of a 63-year-old man who developed vitiligo while on therapy with adalimumab following failure of conventional agents for plaque psoriasis. After discontinuation of adalimumab and initiation of secukinumab, vitiligo and other psoriatic symptoms gradually resolved. After 1 year of treatment, only small plaque areas were present in the flexor site with complete remission in the extensor area along with near complete resolution of depigmented areas. In this case of possible adalimumab-induced vitiligo in a patient with plaque psoriasis, secukinumab resolved both the symptoms of psoriasis and the likely adalimumab-related vitiligo.</jats:p> Resolution of post-adalimumab vitiligo with secukinumab in a patient with psoriasis vulgaris Oxford Medical Case Reports
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title Resolution of post-adalimumab vitiligo with secukinumab in a patient with psoriasis vulgaris
title_unstemmed Resolution of post-adalimumab vitiligo with secukinumab in a patient with psoriasis vulgaris
title_full Resolution of post-adalimumab vitiligo with secukinumab in a patient with psoriasis vulgaris
title_fullStr Resolution of post-adalimumab vitiligo with secukinumab in a patient with psoriasis vulgaris
title_full_unstemmed Resolution of post-adalimumab vitiligo with secukinumab in a patient with psoriasis vulgaris
title_short Resolution of post-adalimumab vitiligo with secukinumab in a patient with psoriasis vulgaris
title_sort resolution of post-adalimumab vitiligo with secukinumab in a patient with psoriasis vulgaris
topic Infectious Diseases
Microbiology
Parasitology
url http://dx.doi.org/10.1093/omcr/omz134
publishDate 2020
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description <jats:title>Abstract</jats:title> <jats:p>Plaque psoriasis is a chronic debilitating condition, and biologic agents that inhibit tumor necrosis factor-α (TNF-α) are widely employed in management of the condition. Notwithstanding, several paradoxical adverse reactions have been reported with TNF-α inhibitors, including vasculitis, vitiligo, alopecia areata, sarcoidosis and other granulomatous diseases. Herein, we report the case of a 63-year-old man who developed vitiligo while on therapy with adalimumab following failure of conventional agents for plaque psoriasis. After discontinuation of adalimumab and initiation of secukinumab, vitiligo and other psoriatic symptoms gradually resolved. After 1 year of treatment, only small plaque areas were present in the flexor site with complete remission in the extensor area along with near complete resolution of depigmented areas. In this case of possible adalimumab-induced vitiligo in a patient with plaque psoriasis, secukinumab resolved both the symptoms of psoriasis and the likely adalimumab-related vitiligo.</jats:p>
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author Palazzo, Giovanni
author_facet Palazzo, Giovanni, Palazzo, Giovanni
author_sort palazzo, giovanni
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container_title Oxford Medical Case Reports
container_volume 2020
description <jats:title>Abstract</jats:title> <jats:p>Plaque psoriasis is a chronic debilitating condition, and biologic agents that inhibit tumor necrosis factor-α (TNF-α) are widely employed in management of the condition. Notwithstanding, several paradoxical adverse reactions have been reported with TNF-α inhibitors, including vasculitis, vitiligo, alopecia areata, sarcoidosis and other granulomatous diseases. Herein, we report the case of a 63-year-old man who developed vitiligo while on therapy with adalimumab following failure of conventional agents for plaque psoriasis. After discontinuation of adalimumab and initiation of secukinumab, vitiligo and other psoriatic symptoms gradually resolved. After 1 year of treatment, only small plaque areas were present in the flexor site with complete remission in the extensor area along with near complete resolution of depigmented areas. In this case of possible adalimumab-induced vitiligo in a patient with plaque psoriasis, secukinumab resolved both the symptoms of psoriasis and the likely adalimumab-related vitiligo.</jats:p>
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spelling Palazzo, Giovanni 2053-8855 Oxford University Press (OUP) Infectious Diseases Microbiology Parasitology http://dx.doi.org/10.1093/omcr/omz134 <jats:title>Abstract</jats:title> <jats:p>Plaque psoriasis is a chronic debilitating condition, and biologic agents that inhibit tumor necrosis factor-α (TNF-α) are widely employed in management of the condition. Notwithstanding, several paradoxical adverse reactions have been reported with TNF-α inhibitors, including vasculitis, vitiligo, alopecia areata, sarcoidosis and other granulomatous diseases. Herein, we report the case of a 63-year-old man who developed vitiligo while on therapy with adalimumab following failure of conventional agents for plaque psoriasis. After discontinuation of adalimumab and initiation of secukinumab, vitiligo and other psoriatic symptoms gradually resolved. After 1 year of treatment, only small plaque areas were present in the flexor site with complete remission in the extensor area along with near complete resolution of depigmented areas. In this case of possible adalimumab-induced vitiligo in a patient with plaque psoriasis, secukinumab resolved both the symptoms of psoriasis and the likely adalimumab-related vitiligo.</jats:p> Resolution of post-adalimumab vitiligo with secukinumab in a patient with psoriasis vulgaris Oxford Medical Case Reports
spellingShingle Palazzo, Giovanni, Oxford Medical Case Reports, Resolution of post-adalimumab vitiligo with secukinumab in a patient with psoriasis vulgaris, Infectious Diseases, Microbiology, Parasitology
title Resolution of post-adalimumab vitiligo with secukinumab in a patient with psoriasis vulgaris
title_full Resolution of post-adalimumab vitiligo with secukinumab in a patient with psoriasis vulgaris
title_fullStr Resolution of post-adalimumab vitiligo with secukinumab in a patient with psoriasis vulgaris
title_full_unstemmed Resolution of post-adalimumab vitiligo with secukinumab in a patient with psoriasis vulgaris
title_short Resolution of post-adalimumab vitiligo with secukinumab in a patient with psoriasis vulgaris
title_sort resolution of post-adalimumab vitiligo with secukinumab in a patient with psoriasis vulgaris
title_unstemmed Resolution of post-adalimumab vitiligo with secukinumab in a patient with psoriasis vulgaris
topic Infectious Diseases, Microbiology, Parasitology
url http://dx.doi.org/10.1093/omcr/omz134