Title |
Paradoxical skin lesions induced by anti-TNF-α agents in SAPHO syndrome
|
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Published in |
Clinical Rheumatology, April 2018
|
DOI | 10.1007/s10067-018-4083-5 |
Pubmed ID | |
Authors |
Chen Li, Xia Wu, Yihan Cao, Yueping Zeng, Weihong Zhang, Shuo Zhang, Yuehua Liu, Hongzhong Jin, Wen Zhang, Li Li |
Abstract |
The objectives of the study were to characterize the clinical picture of paradoxical skin lesions in SAPHO patients treated with anti-TNF-α agents and to explore its pathogenesis. Patients treated with anti-TNF-α therapy were identified from a cohort of 164 SAPHO patients. The clinical data and skin biopsies were collected. The usage, efficacy, and side effects of anti-TNF-α therapy were recorded. Forty-one (25.0%) patients received anti-TNF-α therapy, of which seven (17.1%) developed paradoxical skin lesions after 1 to 14 infusions. Patients with such lesions were older at onset of skin lesions than those without (p = 0.034). Expression of TNF-α in palmoplantar pustulosis increased after anti-TNF-α therapy in the two examined patients with exacerbated skin lesions. Anti-TNF-α therapy induces paradoxical skin lesions in 17.1% SAPHO patients. Late onset of skin manifestations is associated with an increased risk of such lesions. The paradoxical elevation of TNF-α expression in lesions may contribute to this phenomenon. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
Mexico | 2 | 8% |
Ukraine | 2 | 8% |
United States | 2 | 8% |
Colombia | 1 | 4% |
India | 1 | 4% |
Dominican Republic | 1 | 4% |
Russia | 1 | 4% |
France | 1 | 4% |
Spain | 1 | 4% |
Other | 2 | 8% |
Unknown | 12 | 46% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 17 | 65% |
Scientists | 4 | 15% |
Science communicators (journalists, bloggers, editors) | 3 | 12% |
Practitioners (doctors, other healthcare professionals) | 2 | 8% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 25 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Ph. D. Student | 5 | 20% |
Researcher | 4 | 16% |
Student > Bachelor | 3 | 12% |
Student > Postgraduate | 3 | 12% |
Student > Doctoral Student | 1 | 4% |
Other | 1 | 4% |
Unknown | 8 | 32% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 12 | 48% |
Pharmacology, Toxicology and Pharmaceutical Science | 1 | 4% |
Nursing and Health Professions | 1 | 4% |
Biochemistry, Genetics and Molecular Biology | 1 | 4% |
Immunology and Microbiology | 1 | 4% |
Other | 1 | 4% |
Unknown | 8 | 32% |