Successful Treatment of Severe Subcorneal Pustular Dermatosis with Adalimumab

Jiaoquan Chen,* Yuwu Luo,* Nanji Yu, Yan Yang, Xin Zhou, Shujuan Zhang, Qianru Ye, Huilan Zhu Department of Dermatology, Guangzhou Institute of Dermatology, Guangzhou, Guangdong, 510095, People’s Republic of China*These authors contributed equally to this workCorrespondence:...

Full description

Bibliographic Details
Main Authors: Chen J, Luo Y, Yu N, Yang Y, Zhou X, Zhang S, Ye Q, Zhu H
Format: Article
Language:English
Published: Dove Medical Press 2022-11-01
Series:Clinical, Cosmetic and Investigational Dermatology
Subjects:
Online Access:https://www.dovepress.com/successful-treatment-of-severe-subcorneal-pustular-dermatosis-with-ada-peer-reviewed-fulltext-article-CCID
_version_ 1811320736665567232
author Chen J
Luo Y
Yu N
Yang Y
Zhou X
Zhang S
Ye Q
Zhu H
author_facet Chen J
Luo Y
Yu N
Yang Y
Zhou X
Zhang S
Ye Q
Zhu H
author_sort Chen J
collection DOAJ
description Jiaoquan Chen,* Yuwu Luo,* Nanji Yu, Yan Yang, Xin Zhou, Shujuan Zhang, Qianru Ye, Huilan Zhu Department of Dermatology, Guangzhou Institute of Dermatology, Guangzhou, Guangdong, 510095, People’s Republic of China*These authors contributed equally to this workCorrespondence: Huilan Zhu, Department of Dermatology Guangzhou Institute of Dermatology 56 Hengfu Road, Guangzhou, Guangdong, 510095, People’s Republic of China, Email zhlhuilan@126.comAbstract: Subcorneal pustular dermatosis (SPD) is a rare, chronic pustular dermatosis. The pathogenesis of SPD has not been fully elucidated, but some studies have found that tumor necrosis factor (TNF)-α may be associated with its pathogenesis. Some patients with multidrug-resistant SPD have improved significantly after treatment with the anti-TNF-α agent (adalimumab). We present a case of a 28-year-old female with severe SPD who responded rapidly to adalimumab (80mg/week) in combination with acitretin and methylprednisolone within a week. With adalimumab (40 mg next week and followed by 40mg every two weeks) and gradually ceasing other systemic medication, the patient’s condition continued to improve without relapse or side effects. The outcome of this case suggests that adalimumab might be an effective treatment option against multidrug-resistant SPD.Keywords: subcorneal pustular dermatosis, anti-TNF-α agent, adalimumab
first_indexed 2024-04-13T13:04:41Z
format Article
id doaj.art-ed29d0c5c7594a23bfd346299ec74dad
institution Directory Open Access Journal
issn 1178-7015
language English
last_indexed 2024-04-13T13:04:41Z
publishDate 2022-11-01
publisher Dove Medical Press
record_format Article
series Clinical, Cosmetic and Investigational Dermatology
spelling doaj.art-ed29d0c5c7594a23bfd346299ec74dad2022-12-22T02:45:50ZengDove Medical PressClinical, Cosmetic and Investigational Dermatology1178-70152022-11-01Volume 152567257079938Successful Treatment of Severe Subcorneal Pustular Dermatosis with AdalimumabChen JLuo YYu NYang YZhou XZhang SYe QZhu HJiaoquan Chen,* Yuwu Luo,* Nanji Yu, Yan Yang, Xin Zhou, Shujuan Zhang, Qianru Ye, Huilan Zhu Department of Dermatology, Guangzhou Institute of Dermatology, Guangzhou, Guangdong, 510095, People’s Republic of China*These authors contributed equally to this workCorrespondence: Huilan Zhu, Department of Dermatology Guangzhou Institute of Dermatology 56 Hengfu Road, Guangzhou, Guangdong, 510095, People’s Republic of China, Email zhlhuilan@126.comAbstract: Subcorneal pustular dermatosis (SPD) is a rare, chronic pustular dermatosis. The pathogenesis of SPD has not been fully elucidated, but some studies have found that tumor necrosis factor (TNF)-α may be associated with its pathogenesis. Some patients with multidrug-resistant SPD have improved significantly after treatment with the anti-TNF-α agent (adalimumab). We present a case of a 28-year-old female with severe SPD who responded rapidly to adalimumab (80mg/week) in combination with acitretin and methylprednisolone within a week. With adalimumab (40 mg next week and followed by 40mg every two weeks) and gradually ceasing other systemic medication, the patient’s condition continued to improve without relapse or side effects. The outcome of this case suggests that adalimumab might be an effective treatment option against multidrug-resistant SPD.Keywords: subcorneal pustular dermatosis, anti-TNF-α agent, adalimumabhttps://www.dovepress.com/successful-treatment-of-severe-subcorneal-pustular-dermatosis-with-ada-peer-reviewed-fulltext-article-CCIDsubcorneal pustular dermatosisanti-tnf-α agentadalimumab
spellingShingle Chen J
Luo Y
Yu N
Yang Y
Zhou X
Zhang S
Ye Q
Zhu H
Successful Treatment of Severe Subcorneal Pustular Dermatosis with Adalimumab
Clinical, Cosmetic and Investigational Dermatology
subcorneal pustular dermatosis
anti-tnf-α agent
adalimumab
title Successful Treatment of Severe Subcorneal Pustular Dermatosis with Adalimumab
title_full Successful Treatment of Severe Subcorneal Pustular Dermatosis with Adalimumab
title_fullStr Successful Treatment of Severe Subcorneal Pustular Dermatosis with Adalimumab
title_full_unstemmed Successful Treatment of Severe Subcorneal Pustular Dermatosis with Adalimumab
title_short Successful Treatment of Severe Subcorneal Pustular Dermatosis with Adalimumab
title_sort successful treatment of severe subcorneal pustular dermatosis with adalimumab
topic subcorneal pustular dermatosis
anti-tnf-α agent
adalimumab
url https://www.dovepress.com/successful-treatment-of-severe-subcorneal-pustular-dermatosis-with-ada-peer-reviewed-fulltext-article-CCID
work_keys_str_mv AT chenj successfultreatmentofseveresubcornealpustulardermatosiswithadalimumab
AT luoy successfultreatmentofseveresubcornealpustulardermatosiswithadalimumab
AT yun successfultreatmentofseveresubcornealpustulardermatosiswithadalimumab
AT yangy successfultreatmentofseveresubcornealpustulardermatosiswithadalimumab
AT zhoux successfultreatmentofseveresubcornealpustulardermatosiswithadalimumab
AT zhangs successfultreatmentofseveresubcornealpustulardermatosiswithadalimumab
AT yeq successfultreatmentofseveresubcornealpustulardermatosiswithadalimumab
AT zhuh successfultreatmentofseveresubcornealpustulardermatosiswithadalimumab