Stevens–Johnson Syndrome and Herpes Simplex Type 1 Infection during Adalimumab Therapy for Crohn’s Disease

Stevens–Johnson syndrome (SJS) is a severe mucocutaneous adverse drug reaction with a relatively high mortality rate. SJS is described during herpes simplex virus type 1 (HSV1) infection and, rarely, even during adalimumab therapy. We report the case of a patient with Crohn’s disease who developed S...

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Main Authors: Jenny Roselli, Tommaso Innocenti, Erica Nicola Lynch, Laura Parisio, Pasquale Apolito, Tommaso Mello, Giuseppe Macrì, Monica Milla, Maria Rosa Biagini, Mirko Tarocchi, Stefano Milani, Andrea Galli
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Case Reports in Gastrointestinal Medicine
Online Access:http://dx.doi.org/10.1155/2020/3875024
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author Jenny Roselli
Tommaso Innocenti
Erica Nicola Lynch
Laura Parisio
Pasquale Apolito
Tommaso Mello
Giuseppe Macrì
Monica Milla
Maria Rosa Biagini
Mirko Tarocchi
Stefano Milani
Andrea Galli
author_facet Jenny Roselli
Tommaso Innocenti
Erica Nicola Lynch
Laura Parisio
Pasquale Apolito
Tommaso Mello
Giuseppe Macrì
Monica Milla
Maria Rosa Biagini
Mirko Tarocchi
Stefano Milani
Andrea Galli
author_sort Jenny Roselli
collection DOAJ
description Stevens–Johnson syndrome (SJS) is a severe mucocutaneous adverse drug reaction with a relatively high mortality rate. SJS is described during herpes simplex virus type 1 (HSV1) infection and, rarely, even during adalimumab therapy. We report the case of a patient with Crohn’s disease who developed SJS during an HSV1 infection and a contemporaneous anti-TNFα therapy with adalimumab. Remission was achieved with suspension of adalimumab and high doses of intravenous steroids and antivirals. Patients with HSV1 infection and on adalimumab therapy have a combined risk of SJS and should be monitored closely.
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publishDate 2020-01-01
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series Case Reports in Gastrointestinal Medicine
spelling doaj-art-f308cf6d9ec948cf81cfeb8d1127bda62025-02-03T01:26:58ZengWileyCase Reports in Gastrointestinal Medicine2090-65282090-65362020-01-01202010.1155/2020/38750243875024Stevens–Johnson Syndrome and Herpes Simplex Type 1 Infection during Adalimumab Therapy for Crohn’s DiseaseJenny Roselli0Tommaso Innocenti1Erica Nicola Lynch2Laura Parisio3Pasquale Apolito4Tommaso Mello5Giuseppe Macrì6Monica Milla7Maria Rosa Biagini8Mirko Tarocchi9Stefano Milani10Andrea Galli11Department of Biomedical, Experimental and Clinical Sciences, University of Florence, Florence, ItalyDepartment of Biomedical, Experimental and Clinical Sciences, University of Florence, Florence, ItalyDepartment of Biomedical, Experimental and Clinical Sciences, University of Florence, Florence, ItalyDepartment of Biomedical, Experimental and Clinical Sciences, University of Florence, Florence, ItalyDepartment of Biomedical, Experimental and Clinical Sciences, University of Florence, Florence, ItalyDepartment of Biomedical, Experimental and Clinical Sciences, University of Florence, Florence, ItalyAzienda Ospedaliero-Universitaria Careggi, Florence, ItalyAzienda Ospedaliero-Universitaria Careggi, Florence, ItalyDepartment of Biomedical, Experimental and Clinical Sciences, University of Florence, Florence, ItalyDepartment of Biomedical, Experimental and Clinical Sciences, University of Florence, Florence, ItalyDepartment of Biomedical, Experimental and Clinical Sciences, University of Florence, Florence, ItalyDepartment of Biomedical, Experimental and Clinical Sciences, University of Florence, Florence, ItalyStevens–Johnson syndrome (SJS) is a severe mucocutaneous adverse drug reaction with a relatively high mortality rate. SJS is described during herpes simplex virus type 1 (HSV1) infection and, rarely, even during adalimumab therapy. We report the case of a patient with Crohn’s disease who developed SJS during an HSV1 infection and a contemporaneous anti-TNFα therapy with adalimumab. Remission was achieved with suspension of adalimumab and high doses of intravenous steroids and antivirals. Patients with HSV1 infection and on adalimumab therapy have a combined risk of SJS and should be monitored closely.http://dx.doi.org/10.1155/2020/3875024
spellingShingle Jenny Roselli
Tommaso Innocenti
Erica Nicola Lynch
Laura Parisio
Pasquale Apolito
Tommaso Mello
Giuseppe Macrì
Monica Milla
Maria Rosa Biagini
Mirko Tarocchi
Stefano Milani
Andrea Galli
Stevens–Johnson Syndrome and Herpes Simplex Type 1 Infection during Adalimumab Therapy for Crohn’s Disease
Case Reports in Gastrointestinal Medicine
title Stevens–Johnson Syndrome and Herpes Simplex Type 1 Infection during Adalimumab Therapy for Crohn’s Disease
title_full Stevens–Johnson Syndrome and Herpes Simplex Type 1 Infection during Adalimumab Therapy for Crohn’s Disease
title_fullStr Stevens–Johnson Syndrome and Herpes Simplex Type 1 Infection during Adalimumab Therapy for Crohn’s Disease
title_full_unstemmed Stevens–Johnson Syndrome and Herpes Simplex Type 1 Infection during Adalimumab Therapy for Crohn’s Disease
title_short Stevens–Johnson Syndrome and Herpes Simplex Type 1 Infection during Adalimumab Therapy for Crohn’s Disease
title_sort stevens johnson syndrome and herpes simplex type 1 infection during adalimumab therapy for crohn s disease
url http://dx.doi.org/10.1155/2020/3875024
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