Acute Generalized Exanthematous Pustulosis due to Tocilizumab in a Rheumatoid Arthritis Patient

We report a female patient with rheumatoid arthritis which was refractory to methotrexate, leflunomide, and anti-TNF therapy. She was treated with anti-IL-6 tocilizumab (TCZ), with an early appearance of sterile pustules on erythematous swollen skin of trunk, back, and abdominal area. The lesions we...

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Main Authors: J. H. Izquierdo, F. Bonilla-Abadía, C. D. Ochoa, A. Agualimpia, G. J. Tobón, C. A. Cañas
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Case Reports in Rheumatology
Online Access:http://dx.doi.org/10.1155/2012/517424
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author J. H. Izquierdo
F. Bonilla-Abadía
C. D. Ochoa
A. Agualimpia
G. J. Tobón
C. A. Cañas
author_facet J. H. Izquierdo
F. Bonilla-Abadía
C. D. Ochoa
A. Agualimpia
G. J. Tobón
C. A. Cañas
author_sort J. H. Izquierdo
collection DOAJ
description We report a female patient with rheumatoid arthritis which was refractory to methotrexate, leflunomide, and anti-TNF therapy. She was treated with anti-IL-6 tocilizumab (TCZ), with an early appearance of sterile pustules on erythematous swollen skin of trunk, back, and abdominal area. The lesions were consistent with the diagnosis of acute drug-related generalized exanthematous pustulosis (AGEP). This adverse event was controlled with medical treatment without requiring removal of TCZ.
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publishDate 2012-01-01
publisher Wiley
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series Case Reports in Rheumatology
spelling doaj-art-d418df4bfaf1487ab1baa2cd66b294be2025-08-20T02:19:45ZengWileyCase Reports in Rheumatology2090-68892090-68972012-01-01201210.1155/2012/517424517424Acute Generalized Exanthematous Pustulosis due to Tocilizumab in a Rheumatoid Arthritis PatientJ. H. Izquierdo0F. Bonilla-Abadía1C. D. Ochoa2A. Agualimpia3G. J. Tobón4C. A. Cañas5Rheumatology Unit, Valle del Lili Foundation, ICESI University, Cali, ColombiaRheumatology Unit, Valle del Lili Foundation, ICESI University, Cali, ColombiaRheumatology Unit, Valle del Lili Foundation, ICESI University, Cali, ColombiaRheumatology Unit, Valle del Lili Foundation, ICESI University, Cali, ColombiaRheumatology Unit, Valle del Lili Foundation, ICESI University, Cali, ColombiaRheumatology Unit, Valle del Lili Foundation, ICESI University, Cali, ColombiaWe report a female patient with rheumatoid arthritis which was refractory to methotrexate, leflunomide, and anti-TNF therapy. She was treated with anti-IL-6 tocilizumab (TCZ), with an early appearance of sterile pustules on erythematous swollen skin of trunk, back, and abdominal area. The lesions were consistent with the diagnosis of acute drug-related generalized exanthematous pustulosis (AGEP). This adverse event was controlled with medical treatment without requiring removal of TCZ.http://dx.doi.org/10.1155/2012/517424
spellingShingle J. H. Izquierdo
F. Bonilla-Abadía
C. D. Ochoa
A. Agualimpia
G. J. Tobón
C. A. Cañas
Acute Generalized Exanthematous Pustulosis due to Tocilizumab in a Rheumatoid Arthritis Patient
Case Reports in Rheumatology
title Acute Generalized Exanthematous Pustulosis due to Tocilizumab in a Rheumatoid Arthritis Patient
title_full Acute Generalized Exanthematous Pustulosis due to Tocilizumab in a Rheumatoid Arthritis Patient
title_fullStr Acute Generalized Exanthematous Pustulosis due to Tocilizumab in a Rheumatoid Arthritis Patient
title_full_unstemmed Acute Generalized Exanthematous Pustulosis due to Tocilizumab in a Rheumatoid Arthritis Patient
title_short Acute Generalized Exanthematous Pustulosis due to Tocilizumab in a Rheumatoid Arthritis Patient
title_sort acute generalized exanthematous pustulosis due to tocilizumab in a rheumatoid arthritis patient
url http://dx.doi.org/10.1155/2012/517424
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