Demyelination during anti-tumour necrosis factor therapy for psoriasis.

Abstract:

:Anti-tumour necrosis factor (anti-TNF) therapies have been associated with neurological complications, including in rare cases demyelinating disease. It is currently unknown whether patients who have received more than one immunosuppressive agent or anti-TNF have a greater risk of demyelination. We report the case of a 37-year-old woman with psoriasis who presented with an acute episode of demyelination while on anti-TNF therapy. This case was complicated by the fact that progressive multifocal leukoencephalopathy was considered the likely diagnosis initially and was only definitively excluded by brain biopsy. This case demonstrates the difficulty establishing the correct diagnosis in patients with atypical presentations on immunomodulating therapies. We present this rare case of demyelination in a patient who received multiple immunosuppressive therapies to highlight this challenging clinical situation and discuss management with a literature review.

journal_name

Clin Exp Dermatol

authors

Boggs JME,Barnes L

doi

10.1111/ced.13412

subject

Has Abstract

pub_date

2018-07-01 00:00:00

pages

577-578

issue

5

eissn

0307-6938

issn

1365-2230

journal_volume

43

pub_type

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