Alopecia universalis in a patient with rheumatoid arthritis developed during treatment with adalimumab.

Abstract:

:Alopecia universalis is an advanced form of alopecia areata, characterized by complete loss of hair on all hair-bearing areas. It is currently believed to be an autoimmune disorder. The development of alopecia during treatment with tumor necrosis factor alpha (TNF-α) inhibitors is a rarely observed adverse event. This case describes a 56-year-old female patient with rheumatoid arthritis (RA), who developed alopecia universalis during treatment with adalimumab. There was no improvement in alopecia despite withdrawal of adalimumab. It is believed that interferon-α is the main cytokine involved in promoting inflammation in hair loss after blocking TNF-α by TNF inhibitors. Risk/benefit ratio of maintenance and discontinuation of the drug should be weighed up when alopecia appears during treatment with TNF inhibitors.

journal_name

Z Rheumatol

authors

Ostojic P,Pavlov-Dolijanovic S

doi

10.1007/s00393-018-0464-z

subject

Has Abstract

pub_date

2018-06-01 00:00:00

pages

412-415

issue

5

eissn

0340-1855

issn

1435-1250

pii

10.1007/s00393-018-0464-z

journal_volume

77

pub_type

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