Sarcoid panuveitis associated with etanercept treatment, resolving with adalimumab

BMJ Case Rep. 2013 Sep 4:2013:bcr2013200552. doi: 10.1136/bcr-2013-200552.

Abstract

We presented a case of a 54-year-old woman, who developed sarcoidosis uveitis while on treatment with the tumour necrosis factor α (TNFα) antagonist etanercept for rheumatoid arthritis. Her condition improved, but did not recover completely after the medication was stopped. After starting her on another TNFα antagonist, adalimumab, the uveitis recovered completely. Etanercept and adalimumab are from the same class of medication, but have different effects on other mediators and cells, which may explain these discrepancies.

Publication types

  • Case Reports

MeSH terms

  • Adalimumab
  • Antibodies, Monoclonal, Humanized / therapeutic use
  • Antirheumatic Agents / adverse effects*
  • Antirheumatic Agents / therapeutic use
  • Arthritis, Rheumatoid / complications
  • Arthritis, Rheumatoid / drug therapy*
  • Etanercept
  • Female
  • Humans
  • Immunoglobulin G / adverse effects*
  • Middle Aged
  • Panuveitis / chemically induced*
  • Panuveitis / complications
  • Panuveitis / drug therapy
  • Receptors, Tumor Necrosis Factor
  • Sarcoidosis / chemically induced*
  • Sarcoidosis / complications
  • Sarcoidosis / drug therapy

Substances

  • Antibodies, Monoclonal, Humanized
  • Antirheumatic Agents
  • Immunoglobulin G
  • Receptors, Tumor Necrosis Factor
  • Adalimumab
  • Etanercept