Thyrotoxicosis Associated with Ustekinumab Treatment for Psoriasis

Biologic treatments have revolutionised the management of psoriasis in recent years; however, data on their safety profile in large populations and long-term effects are being gathered on an ongoing basis. Ustekinumab is a monoclonal antibody that targets interleukin-12/23 used in the treatment of m...

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Main Authors: Bayanne Olabi, Shanti Ayob
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Case Reports in Dermatological Medicine
Online Access:http://dx.doi.org/10.1155/2020/8868553
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author Bayanne Olabi
Shanti Ayob
author_facet Bayanne Olabi
Shanti Ayob
author_sort Bayanne Olabi
collection DOAJ
description Biologic treatments have revolutionised the management of psoriasis in recent years; however, data on their safety profile in large populations and long-term effects are being gathered on an ongoing basis. Ustekinumab is a monoclonal antibody that targets interleukin-12/23 used in the treatment of moderate-to-severe psoriasis. Here, we report the case of a 32-year-old Caucasian gentleman who developed thyrotoxicosis following the commencement of ustekinumab treatment. Following control of thyroid status by the Endocrinology team, this recurred after recommencement of ustekinumab on two further occasions over a 5-year period. This is the second known reported association of this nature. Awareness of these possible adverse effects is imperative in managing patients and informing decision-making, and further long-term studies will help elucidate the precise safety profiles of biologic treatments.
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spelling doaj-art-5027a9c8e49341f29668e9e418815b462025-02-03T06:46:35ZengWileyCase Reports in Dermatological Medicine2090-64632090-64712020-01-01202010.1155/2020/88685538868553Thyrotoxicosis Associated with Ustekinumab Treatment for PsoriasisBayanne Olabi0Shanti Ayob1Department of Dermatology, Lauriston Building, Edinburgh EH3 9EN, UKDepartment of Dermatology, NHS Treatment Centre, Nottingham NG7 2FT, UKBiologic treatments have revolutionised the management of psoriasis in recent years; however, data on their safety profile in large populations and long-term effects are being gathered on an ongoing basis. Ustekinumab is a monoclonal antibody that targets interleukin-12/23 used in the treatment of moderate-to-severe psoriasis. Here, we report the case of a 32-year-old Caucasian gentleman who developed thyrotoxicosis following the commencement of ustekinumab treatment. Following control of thyroid status by the Endocrinology team, this recurred after recommencement of ustekinumab on two further occasions over a 5-year period. This is the second known reported association of this nature. Awareness of these possible adverse effects is imperative in managing patients and informing decision-making, and further long-term studies will help elucidate the precise safety profiles of biologic treatments.http://dx.doi.org/10.1155/2020/8868553
spellingShingle Bayanne Olabi
Shanti Ayob
Thyrotoxicosis Associated with Ustekinumab Treatment for Psoriasis
Case Reports in Dermatological Medicine
title Thyrotoxicosis Associated with Ustekinumab Treatment for Psoriasis
title_full Thyrotoxicosis Associated with Ustekinumab Treatment for Psoriasis
title_fullStr Thyrotoxicosis Associated with Ustekinumab Treatment for Psoriasis
title_full_unstemmed Thyrotoxicosis Associated with Ustekinumab Treatment for Psoriasis
title_short Thyrotoxicosis Associated with Ustekinumab Treatment for Psoriasis
title_sort thyrotoxicosis associated with ustekinumab treatment for psoriasis
url http://dx.doi.org/10.1155/2020/8868553
work_keys_str_mv AT bayanneolabi thyrotoxicosisassociatedwithustekinumabtreatmentforpsoriasis
AT shantiayob thyrotoxicosisassociatedwithustekinumabtreatmentforpsoriasis