A case of lupus-like syndrome in a patient receiving adalimumab and a brief review of the literature on drug-induced lupus erythematosus
2017
Abstract
What is known and objective: Drug-induced lupus erythematosus occurs with some drugs and resolves with their withdrawal. Anti-TNF therapies have been found to be associated with a lupus-like syndrome, which is clinically distinct from classical drug-induced as well as idiopathic lupus erythematosus.
Case description: We describe a case of a patient with severe psoriasis, who developed muscle pain with praesthesia accompanied by ANA titres elevation with adalimumab treatment. The condition resolved after adalimumab cessation, and the patient was started on ustekinumab with good results.
What is new and conclusion: Ustekinumab might be a useful treatment option for patients with a history of TNF-induced lupus-like syndrome.