Academic Journal

Pyoderma gangrenosum following anti-TNF therapy in chronic recurrent multifocal osteomyelitis: drug reaction or cutaneous manifestation of the disease? A critical review on the topic with an emblematic case report

التفاصيل البيبلوغرافية
العنوان: Pyoderma gangrenosum following anti-TNF therapy in chronic recurrent multifocal osteomyelitis: drug reaction or cutaneous manifestation of the disease? A critical review on the topic with an emblematic case report
المؤلفون: Maurizio Romagnuolo, Chiara Moltrasio, Claudia Iannone, Maurizio Gattinara, Stefano Cambiaghi, Angelo Valerio Marzano
المصدر: Frontiers in Medicine, Vol 10 (2023)
بيانات النشر: Frontiers Media S.A., 2023.
سنة النشر: 2023
المجموعة: LCC:Medicine (General)
مصطلحات موضوعية: pyoderma gangrenosum, chronic recurrent multifocal osteomyelitis, drug-induced PG, anti-TNF, adalimumab, adverse drug reaction, Medicine (General), R5-920
الوصف: Chronic recurrent multifocal osteomyelitis (CRMO) is a rare autoinflammatory disease, clinically characterized by chronic and recurrent episodes of osteoarticular inflammation, that generally presents in children and adolescents. From a dermatological point-of-view, CMRO can be associated with skin rashes mainly including psoriasis, palmoplantar pustulosis and acne. Pyoderma gangrenosum (PG) is a rare immune-mediated inflammatory skin disease classified within the spectrum of neutrophilic dermatoses that, in some cases, has been reported as cutaneous manifestation in CMRO patients. This paper presents a 16-year female patient diagnosed with CMRO, who presented PG lesions located on the lower leg, that arose after the administration of the tumour necrosis factor (TNF)-α inhibitor adalimumab. Cases of PG have been reported in patients being treated with certain medications, including TNF-α antagonists, leading to classified them in a setting aptly termed “drug-induced PG.” In this paper, we discuss the co-occurrence of PG and CRMO, in the light of recent evidence on the pathogenesis of both diseases and giving ample space to a literature review on drug induced PG. In our case, it is plausible that PG could be considered a cutaneous manifestation of CRMO, although the mechanisms underlying this intriguingly relationship remain to be fully unraveled.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 2296-858X
Relation: https://www.frontiersin.org/articles/10.3389/fmed.2023.1197273/full; https://doaj.org/toc/2296-858X
DOI: 10.3389/fmed.2023.1197273
URL الوصول: https://doaj.org/article/8be96f2b722044e0bca5b903fd3937d5
رقم الانضمام: edsdoj.8be96f2b722044e0bca5b903fd3937d5
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:2296858X
DOI:10.3389/fmed.2023.1197273