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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Main Authors: Yoshifumi Tada, Nobuyuki Ono, Syuichi Koarada
Format: Article
Language:English
Published: Wiley 2021-01-01
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).
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institution Kabale University
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publishDate 2021-01-01
publisher Wiley
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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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