Immediate Effect of Baricitinib on Arthritis and Biological Disease-Modifying Antirheumatic Drug-Induced Psoriasis-Like Skin Lesions in Two Patients with Rheumatoid Arthritis
Biological disease-modifying antirheumatic drugs (bDMARDs) are very effective for treating rheumatoid arthritis (RA). However, they sometimes induce adverse events such as psoriasis-like skin lesions. We describe psoriasis-like skin lesions that developed simultaneously with an RA flare in patient 1...
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2021-01-01
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Series: | Case Reports in Rheumatology |
Online Access: | http://dx.doi.org/10.1155/2021/8876847 |
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author | Yoshifumi Tada Nobuyuki Ono Syuichi Koarada |
author_facet | Yoshifumi Tada Nobuyuki Ono Syuichi Koarada |
author_sort | Yoshifumi Tada |
collection | DOAJ |
description | Biological disease-modifying antirheumatic drugs (bDMARDs) are very effective for treating rheumatoid arthritis (RA). However, they sometimes induce adverse events such as psoriasis-like skin lesions. We describe psoriasis-like skin lesions that developed simultaneously with an RA flare in patient 1 during treatment with abatacept and in patient 2 soon after starting certolizumab pegol. The skin lesions persisted in patient 2 despite stopping certolizumab. Baricitinib was initiated because of RA flare and resulted in immediate beneficial effects on arthritis as well as skin lesions. The RA went into remission in both patients, and the psoriasis-like skin lesions disappeared within four weeks (patient 1) and three months (patient 2). |
format | Article |
id | doaj-art-4672fbcb11614e6ea4bfcd8660ffd09a |
institution | Kabale University |
issn | 2090-6889 2090-6897 |
language | English |
publishDate | 2021-01-01 |
publisher | Wiley |
record_format | Article |
series | Case Reports in Rheumatology |
spelling | doaj-art-4672fbcb11614e6ea4bfcd8660ffd09a2025-02-03T01:09:57ZengWileyCase Reports in Rheumatology2090-68892090-68972021-01-01202110.1155/2021/88768478876847Immediate Effect of Baricitinib on Arthritis and Biological Disease-Modifying Antirheumatic Drug-Induced Psoriasis-Like Skin Lesions in Two Patients with Rheumatoid ArthritisYoshifumi Tada0Nobuyuki Ono1Syuichi Koarada2Department of Rheumatology, Faculty of Medicine, Saga University, Saga 849-8501, JapanDepartment of Rheumatology, Faculty of Medicine, Saga University, Saga 849-8501, JapanDepartment of Rheumatology, Faculty of Medicine, Saga University, Saga 849-8501, JapanBiological disease-modifying antirheumatic drugs (bDMARDs) are very effective for treating rheumatoid arthritis (RA). However, they sometimes induce adverse events such as psoriasis-like skin lesions. We describe psoriasis-like skin lesions that developed simultaneously with an RA flare in patient 1 during treatment with abatacept and in patient 2 soon after starting certolizumab pegol. The skin lesions persisted in patient 2 despite stopping certolizumab. Baricitinib was initiated because of RA flare and resulted in immediate beneficial effects on arthritis as well as skin lesions. The RA went into remission in both patients, and the psoriasis-like skin lesions disappeared within four weeks (patient 1) and three months (patient 2).http://dx.doi.org/10.1155/2021/8876847 |
spellingShingle | Yoshifumi Tada Nobuyuki Ono Syuichi Koarada Immediate Effect of Baricitinib on Arthritis and Biological Disease-Modifying Antirheumatic Drug-Induced Psoriasis-Like Skin Lesions in Two Patients with Rheumatoid Arthritis Case Reports in Rheumatology |
title | Immediate Effect of Baricitinib on Arthritis and Biological Disease-Modifying Antirheumatic Drug-Induced Psoriasis-Like Skin Lesions in Two Patients with Rheumatoid Arthritis |
title_full | Immediate Effect of Baricitinib on Arthritis and Biological Disease-Modifying Antirheumatic Drug-Induced Psoriasis-Like Skin Lesions in Two Patients with Rheumatoid Arthritis |
title_fullStr | Immediate Effect of Baricitinib on Arthritis and Biological Disease-Modifying Antirheumatic Drug-Induced Psoriasis-Like Skin Lesions in Two Patients with Rheumatoid Arthritis |
title_full_unstemmed | Immediate Effect of Baricitinib on Arthritis and Biological Disease-Modifying Antirheumatic Drug-Induced Psoriasis-Like Skin Lesions in Two Patients with Rheumatoid Arthritis |
title_short | Immediate Effect of Baricitinib on Arthritis and Biological Disease-Modifying Antirheumatic Drug-Induced Psoriasis-Like Skin Lesions in Two Patients with Rheumatoid Arthritis |
title_sort | immediate effect of baricitinib on arthritis and biological disease modifying antirheumatic drug induced psoriasis like skin lesions in two patients with rheumatoid arthritis |
url | http://dx.doi.org/10.1155/2021/8876847 |
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