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Treatment of recalcitrant generalized granuloma annulare with adalimumab.

Abstract
Granuloma annulare is a benign, usually self-limited, dermatosis of unknown cause. Generalized lesions occur in approximately 15 percent of patients with GA and may cause mild to severe cosmetic disfigurement. The treatment of generalized granuloma annulare can be challenging. We report the case of a 36-year-old male patient with a generalized granuloma annulare who had failed topical and systemic glucocorticoids, systemic retinoids, dapsone, minocycline, PUVA therapy, and hydroxicloroquine and was successfully treated with adalimumab, an anti-TNF-α monoclonal antibody. Adalimumab may be an additional option in the treatment of recalcitrant forms of granuloma annulare.
AuthorsTiago Torres, Teresa Pinto Almeida, Rosario Alves, Madalena Sanches, Manuela Selores
JournalJournal of drugs in dermatology : JDD (J Drugs Dermatol) Vol. 10 Issue 12 Pg. 1466-8 (Dec 2011) ISSN: 1545-9616 [Print] United States
PMID22134573 (Publication Type: Case Reports, Journal Article)
Chemical References
  • Anti-Inflammatory Agents
  • Antibodies, Monoclonal, Humanized
  • Adalimumab
Topics
  • Adalimumab
  • Adult
  • Anti-Inflammatory Agents (therapeutic use)
  • Antibodies, Monoclonal, Humanized (therapeutic use)
  • Granuloma Annulare (drug therapy, pathology)
  • Humans
  • Male
  • Treatment Outcome

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