Acrodermatitis continua of Hallopeau successfully treated with bimekizumab: A case report

Acrodermatitis continua of Hallopeau is a rare variant of localized pustular psoriasis characterized by the recurrent eruption of sterile pustules involving the distal portions of the fingers and toes that can lead to the destruction of the nail apparatus. Acrodermatitis continua of Hallopeau is a c...

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Main Authors: Katrina D Cirone, Fiona E Lovegrove
Format: Article
Language:English
Published: SAGE Publishing 2023-03-01
Series:SAGE Open Medical Case Reports
Online Access:https://doi.org/10.1177/2050313X231160937
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author Katrina D Cirone
Fiona E Lovegrove
author_facet Katrina D Cirone
Fiona E Lovegrove
author_sort Katrina D Cirone
collection DOAJ
description Acrodermatitis continua of Hallopeau is a rare variant of localized pustular psoriasis characterized by the recurrent eruption of sterile pustules involving the distal portions of the fingers and toes that can lead to the destruction of the nail apparatus. Acrodermatitis continua of Hallopeau is a chronic, relapsing condition that is resistant to most topical and systemic psoriasis therapies, making it notoriously difficult to manage. Interleukin-36 and interleukin-17 are thought to play a pivotal role in the pathophysiology of pustular psoriasis, and evidence suggests that interleukin-17 inhibition can be an effective therapy for pustular psoriasis variants, including acrodermatitis continua of Hallopeau. Bimekizumab, a monoclonal antibody that inhibits the interleukin-17 pathway, may be a safe and effective treatment option for patients with acrodermatitis continua of Hallopeau. We present the first documented case of a patient with acrodermatitis continua of Hallopeau of the bilateral thumbnails who experienced an excellent response to bimekizumab treatment.
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spelling doaj.art-949a251dee0c4a94a0bfb96c255f79042023-03-22T08:03:19ZengSAGE PublishingSAGE Open Medical Case Reports2050-313X2023-03-011110.1177/2050313X231160937Acrodermatitis continua of Hallopeau successfully treated with bimekizumab: A case reportKatrina D Cirone0Fiona E Lovegrove1Schulich School of Medicine & Dentistry, Western University, London, ON, CanadaLovegrove Dermatology, London, ON, CanadaAcrodermatitis continua of Hallopeau is a rare variant of localized pustular psoriasis characterized by the recurrent eruption of sterile pustules involving the distal portions of the fingers and toes that can lead to the destruction of the nail apparatus. Acrodermatitis continua of Hallopeau is a chronic, relapsing condition that is resistant to most topical and systemic psoriasis therapies, making it notoriously difficult to manage. Interleukin-36 and interleukin-17 are thought to play a pivotal role in the pathophysiology of pustular psoriasis, and evidence suggests that interleukin-17 inhibition can be an effective therapy for pustular psoriasis variants, including acrodermatitis continua of Hallopeau. Bimekizumab, a monoclonal antibody that inhibits the interleukin-17 pathway, may be a safe and effective treatment option for patients with acrodermatitis continua of Hallopeau. We present the first documented case of a patient with acrodermatitis continua of Hallopeau of the bilateral thumbnails who experienced an excellent response to bimekizumab treatment.https://doi.org/10.1177/2050313X231160937
spellingShingle Katrina D Cirone
Fiona E Lovegrove
Acrodermatitis continua of Hallopeau successfully treated with bimekizumab: A case report
SAGE Open Medical Case Reports
title Acrodermatitis continua of Hallopeau successfully treated with bimekizumab: A case report
title_full Acrodermatitis continua of Hallopeau successfully treated with bimekizumab: A case report
title_fullStr Acrodermatitis continua of Hallopeau successfully treated with bimekizumab: A case report
title_full_unstemmed Acrodermatitis continua of Hallopeau successfully treated with bimekizumab: A case report
title_short Acrodermatitis continua of Hallopeau successfully treated with bimekizumab: A case report
title_sort acrodermatitis continua of hallopeau successfully treated with bimekizumab a case report
url https://doi.org/10.1177/2050313X231160937
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