Fiche publication


Date publication

juillet 2009

Auteurs

Membres identifiés du Cancéropôle Est :
Pr AUBIN François


Tous les auteurs :
Viguier M, Richette P, Bachelez H, Wendling D, Aubin F

Résumé

TNF-alpha antagonists have been shown to be very effective for the treatment of various rheumatic and nonrheumatic diseases, including psoriasis, and for off-label use in other inflammatory and immune-mediated disorders. However, the increasing use of these agents has led to the recognition of several paradoxical cutaneous adverse effects. New onset or exacerbation of cutaneous psoriasis, cutaneous vasculitis and sarcoidosis have been described. Further characterization and more precise diagnosis of these adverse events are warranted to provide further insights into the pathogenic mechanisms involved and to optimize their management. Herein, we present a review of the different clinical patterns of these paradoxical cutaneous adverse disorders, and we propose recommendations for their management.

Référence

Expert Rev Clin Immunol. 2009 Jul;5(4):421-31.