Psoriasiform and pustular eruption induced by infliximab

J Dermatol. 2007 Jul;34(7):468-72. doi: 10.1111/j.1346-8138.2007.00312.x.

Abstract

Although antitumor necrosis factor (anti-TNF)-alpha therapy provides beneficial effects on various chronic inflammatory skin diseases including psoriasis, cutaneous side-effects have also been reported. We describe four patients who showed psoriasiform eruption following anti-TNF-alpha therapy (infliximab) for Crohn's disease. In all patients, Crohn's disease had responded well to infliximab. Three patients developed plaque-type psoriasiform eruption on the trunk and four extremities, while one patient showed pustular eruption on the palms and soles accompanied with plaque-type psoriasis. In all these patients, skin lesions subsided with topical application of corticosteroid ointment or psoralen plus ultraviolet A treatment.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Antibodies, Monoclonal / adverse effects*
  • Crohn Disease / drug therapy
  • Drug Eruptions / pathology*
  • Female
  • Gastrointestinal Agents / adverse effects*
  • Humans
  • Infliximab
  • Male
  • Psoriasis / chemically induced*
  • Psoriasis / pathology
  • Skin / pathology*
  • Tumor Necrosis Factor-alpha / antagonists & inhibitors*

Substances

  • Antibodies, Monoclonal
  • Gastrointestinal Agents
  • Tumor Necrosis Factor-alpha
  • Infliximab