Aggressive cutaneous T-cell lymphomas after TNFalpha blockade.

Abstract:

:Pharmacologic blockade of TNFalpha has been a highly effective approach to treating several immunologically mediated diseases, including rheumatoid arthritis, Crohn's disease, and psoriatic arthritis. 1,2,3 Both etanercept, the recombinant extracellular domain of the tumor necrosis factor receptor 2 (TNFR2), and infliximab, a humanized murine antibody, bind TNFalpha and block its interaction with cell surface receptors. Recently, it has become clear that blockade of TNFalpha action is profoundly immunosuppressive, and may result in reactivation of tuberculosis and histoplasmosis, as well as the emergence of B-cell lymphomas. 4,5,6 In this report, we describe two cases of cutaneous and systemic T-cell lymphoma that progressed rapidly in the setting of TNFalpha blockade. Both cases were characterized by rapid onset, a fulminant clinical course with extensive cutaneous and systemic involvement, and death within months of diagnosis.

journal_name

J Am Acad Dermatol

authors

Adams AE,Zwicker J,Curiel C,Kadin ME,Falchuk KR,Drews R,Kupper TS

doi

10.1016/j.jaad.2004.03.047

subject

Has Abstract

pub_date

2004-10-01 00:00:00

pages

660-2

issue

4

eissn

0190-9622

issn

1097-6787

pii

S0190962204012745

journal_volume

51

pub_type

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