Drug-induced bullous pemphigoid: cases triggered by intravenous iodine and etanercept
Summary Bullous pemphigoid (BP) is one of the most common acquired immunobullous diseases. Rarely, the development of BP is attributed to drug exposure. We present two cases of BP, one triggered by intravenous iodine, and one associated with etanercept treatment in a patient with psoriasis; the firs...
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Published in | Clinical and experimental dermatology Vol. 36; no. 8; pp. 871 - 873 |
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Main Authors | , , , |
Format | Journal Article |
Language | English |
Published |
Oxford, UK
Blackwell Publishing Ltd
01.12.2011
Wiley-Blackwell Oxford University Press |
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Abstract | Summary
Bullous pemphigoid (BP) is one of the most common acquired immunobullous diseases. Rarely, the development of BP is attributed to drug exposure. We present two cases of BP, one triggered by intravenous iodine, and one associated with etanercept treatment in a patient with psoriasis; the first time, to our knowledge, that either of these associations has been reported. The recognition of occasional cases of drug‐induced BP such as ours, with timely cessation of the offending agent, may produce rapid clinical improvement with decreased exposure to potent immunosuppressive therapy. |
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AbstractList | Bullous pemphigoid (BP) is one of the most common acquired immunobullous diseases. Rarely, the development of BP is attributed to drug exposure. We present two cases of BP, one triggered by intravenous iodine, and one associated with etanercept treatment in a patient with psoriasis; the first time, to our knowledge, that either of these associations has been reported. The recognition of occasional cases of drug-induced BP such as ours, with timely cessation of the offending agent, may produce rapid clinical improvement with decreased exposure to potent immunosuppressive therapy. Summary Bullous pemphigoid (BP) is one of the most common acquired immunobullous diseases. Rarely, the development of BP is attributed to drug exposure. We present two cases of BP, one triggered by intravenous iodine, and one associated with etanercept treatment in a patient with psoriasis; the first time, to our knowledge, that either of these associations has been reported. The recognition of occasional cases of drug‐induced BP such as ours, with timely cessation of the offending agent, may produce rapid clinical improvement with decreased exposure to potent immunosuppressive therapy. Summary Bullous pemphigoid (BP) is one of the most common acquired immunobullous diseases. Rarely, the development of BP is attributed to drug exposure. We present two cases of BP, one triggered by intravenous iodine, and one associated with etanercept treatment in a patient with psoriasis; the first time, to our knowledge, that either of these associations has been reported. The recognition of occasional cases of drug-induced BP such as ours, with timely cessation of the offending agent, may produce rapid clinical improvement with decreased exposure to potent immunosuppressive therapy. [PUBLICATION ABSTRACT] |
Author | Finch, T. M. Goulding, J. M. R. Bhat, J. Kluk, J. |
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Keywords | Bullous dermatosis Immunomodulator Immunopathology Skin disease Intravenous administration Etanercept Dermatology Bullous pemphigoid Antipsoriatic agent Autoimmune disease Iodine |
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References | Bordignon M, Belloni-Fortina A, Pigozzi B et al. Bullous pemphigoid during long-term TNF-alpha blocker therapy. Dermatology 2009; 219: 357-8. Strausbol-Gron B, Deleuran M, Sommer Hansen E, Kragballe K. Development of bullous pemphigoid during treatment of psoriasis with adalimumab. Clin Exp Dermatol 2009; 34: e285-6. Piletta P, Rieckhoff L, Saurat JH. Triggering of bullous pemphigoid by iodine. Br J Dermatol 1994; 131: 145-7. Yamauchi PS, Lowe NJ, Gindi V. Treatment of coexisting bullous pemphigoid and psoriasis with the tumour necrosis factor antagonist etanercept. J Am Acad Dermatol 2006; 54 (Suppl. 2): S121-2. Daulat S, Detweiler JG, Pandya AG. Development of pemphigus vulgaris in a patient with psoriasis treated with etanercept. J Eur Acad Dermatol Venereol 2009; 23: 483-4. Ludwig RJ, Schmidt E. Cytokines in autoimmune bullous skin diseases. Epiphenomena or contribution to pathogenesis? G Ital Dermatol Venereol 2009; 144: 339-49. Lloyd-Lavery A, Taghipour K, Wojnarowska FT. A case-control study demonstrating drug associations in patients diagnosed with bullous pemphigoid. Br J Dermatol 2010; 163 (Suppl. 1): 28. Bastuji-Garin S, Joly P, Picard-Dahan C et al. Drugs associated with bullous pemphigoid. A case-control study. Arch Dermatol 1996; 132: 272-6. Wilczek A, Sticherling M. Concomitant psoriasis and bullous pemphigoid: coincidence or pathogenic relationship? Int J Dermatol 2006; 45: 1353-7. 2009; 23 2009; 34 2009; 144 2010; 163 2004 1996; 132 2006; 45 2009; 219 2006; 54 1994; 131 Wilczek (2023012703541902400_b7) 2006; 45 Yamauchi (2023012703541902400_b9) 2006; 54 Strausbol-Gron (2023012703541902400_b10) 2009; 34 Bordignon (2023012703541902400_b5) 2009; 219 Piletta (2023012703541902400_b4) 1994; 131 Wojnarowska (2023012703541902400_b1) 2004 Bastuji-Garin (2023012703541902400_b2) 1996; 132 Daulat (2023012703541902400_b6) 2009; 23 Ludwig (2023012703541902400_b8) 2009; 144 Lloyd-Lavery (2023012703541902400_b3) 2010; 163 |
References_xml | – volume: 219 start-page: 357 year: 2009 end-page: 8 article-title: Bullous pemphigoid during long‐term TNF‐alpha blocker therapy publication-title: Dermatology – volume: 23 start-page: 483 year: 2009 end-page: 4 article-title: Development of pemphigus vulgaris in a patient with psoriasis treated with etanercept publication-title: J Eur Acad Dermatol Venereol – volume: 54 start-page: S121 issue: Suppl. 2 year: 2006 end-page: 2 article-title: Treatment of coexisting bullous pemphigoid and psoriasis with the tumour necrosis factor antagonist etanercept publication-title: J Am Acad Dermatol – volume: 34 start-page: e285 year: 2009 end-page: 6 article-title: Development of bullous pemphigoid during treatment of psoriasis with adalimumab publication-title: Clin Exp Dermatol – volume: 131 start-page: 145 year: 1994 end-page: 7 article-title: Triggering of bullous pemphigoid by iodine publication-title: Br J Dermatol – volume: 45 start-page: 1353 year: 2006 end-page: 7 article-title: Concomitant psoriasis and bullous pemphigoid: coincidence or pathogenic relationship? publication-title: Int J Dermatol – volume: 132 start-page: 272 year: 1996 end-page: 6 article-title: Drugs associated with bullous pemphigoid. A case‐control study publication-title: Arch Dermatol – volume: 144 start-page: 339 year: 2009 end-page: 49 article-title: Cytokines in autoimmune bullous skin diseases. Epiphenomena or contribution to pathogenesis? publication-title: G Ital Dermatol Venereol – volume: 163 start-page: 28 issue: Suppl. 1 year: 2010 article-title: A case‐control study demonstrating drug associations in patients diagnosed with bullous pemphigoid publication-title: Br J Dermatol – year: 2004 – volume: 144 start-page: 339 year: 2009 ident: 2023012703541902400_b8 article-title: Cytokines in autoimmune bullous skin diseases. Epiphenomena or contribution to pathogenesis? publication-title: G Ital Dermatol Venereol contributor: fullname: Ludwig – volume: 54 start-page: S121 issue: Suppl. 2 year: 2006 ident: 2023012703541902400_b9 article-title: Treatment of coexisting bullous pemphigoid and psoriasis with the tumour necrosis factor antagonist etanercept publication-title: J Am Acad Dermatol doi: 10.1016/j.jaad.2005.10.055 contributor: fullname: Yamauchi – volume: 34 start-page: e285 year: 2009 ident: 2023012703541902400_b10 article-title: Development of bullous pemphigoid during treatment of psoriasis with adalimumab publication-title: Clin Exp Dermatol doi: 10.1111/j.1365-2230.2008.03204.x contributor: fullname: Strausbol-Gron – volume: 219 start-page: 357 year: 2009 ident: 2023012703541902400_b5 article-title: Bullous pemphigoid during long-term TNF-alpha blocker therapy publication-title: Dermatology doi: 10.1159/000243805 contributor: fullname: Bordignon – volume-title: Rook’s Textbook of Dermatology year: 2004 ident: 2023012703541902400_b1 contributor: fullname: Wojnarowska – volume: 45 start-page: 1353 year: 2006 ident: 2023012703541902400_b7 article-title: Concomitant psoriasis and bullous pemphigoid: coincidence or pathogenic relationship? publication-title: Int J Dermatol doi: 10.1111/j.1365-4632.2006.02861.x contributor: fullname: Wilczek – volume: 163 start-page: 28 issue: Suppl. 1 year: 2010 ident: 2023012703541902400_b3 article-title: A case-control study demonstrating drug associations in patients diagnosed with bullous pemphigoid publication-title: Br J Dermatol contributor: fullname: Lloyd-Lavery – volume: 132 start-page: 272 year: 1996 ident: 2023012703541902400_b2 article-title: Drugs associated with bullous pemphigoid. A case-control study publication-title: Arch Dermatol doi: 10.1001/archderm.1996.03890270044006 contributor: fullname: Bastuji-Garin – volume: 131 start-page: 145 year: 1994 ident: 2023012703541902400_b4 article-title: Triggering of bullous pemphigoid by iodine publication-title: Br J Dermatol doi: 10.1111/j.1365-2133.1994.tb08481.x contributor: fullname: Piletta – volume: 23 start-page: 483 year: 2009 ident: 2023012703541902400_b6 article-title: Development of pemphigus vulgaris in a patient with psoriasis treated with etanercept publication-title: J Eur Acad Dermatol Venereol doi: 10.1111/j.1468-3083.2008.02929.x contributor: fullname: Daulat |
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Bullous pemphigoid (BP) is one of the most common acquired immunobullous diseases. Rarely, the development of BP is attributed to drug exposure. We... Bullous pemphigoid (BP) is one of the most common acquired immunobullous diseases. Rarely, the development of BP is attributed to drug exposure. We present two... Summary Bullous pemphigoid (BP) is one of the most common acquired immunobullous diseases. Rarely, the development of BP is attributed to drug exposure. We... |
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SubjectTerms | Anti-Infective Agents, Local - adverse effects Biological and medical sciences Bullous diseases of the skin Dermatology Drug therapy Drugs Etanercept Female Humans Immunoglobulin G - administration & dosage Immunoglobulin G - adverse effects Immunosuppressive Agents - adverse effects Injections, Intravenous Iodine Iodine - administration & dosage Iodine - adverse effects Male Medical sciences Middle Aged Pemphigoid, Bullous - chemically induced Psoriasis Psoriasis - drug therapy Receptors, Tumor Necrosis Factor - administration & dosage |
Title | Drug-induced bullous pemphigoid: cases triggered by intravenous iodine and etanercept |
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