Successful treatment with infliximab of sibling cases with generalized pustular psoriasis caused by deficiency of interleukin-36 receptor antagonist

2014 ◽  
Vol 29 (10) ◽  
pp. 2054-2056 ◽  
Author(s):  
K. Sugiura ◽  
K. Endo ◽  
T. Akasaka ◽  
M. Akiyama
Keyword(s):  
Receptor Antagonist ◽  
Successful Treatment ◽  
Pustular Psoriasis ◽  
Generalized Pustular Psoriasis ◽  
Sibling Cases

scholarly journals A Case of Old Age-Onset Generalized Pustular Psoriasis with a Deficiency of IL-36RN (DITRA) Treated by Granulocyte and Monocyte Apheresis

2015 ◽  
Vol 7 (1) ◽  
pp. 29-35 ◽  
Author(s):  
Chiharu Tominaga ◽  
Masaaki Yamamoto ◽  
Yasutomo Imai ◽  
Kiyofumi Yamanishi
Keyword(s):  
Receptor Antagonist ◽  
Dose Reduction ◽  
Old Age ◽  
Psoriasis Vulgaris ◽  
Serum Levels ◽  
Pustular Psoriasis ◽  
Generalized Pustular Psoriasis ◽  
Homozygous Mutations ◽  
Inflammatory Infiltrates

A 78-year-old woman who had been suffering from psoriasis vulgaris for 31 years was admitted to hospital because of her erythroderma. A toxic eruption was suspected and she was treated with prednisolone 30 mg daily. However, it was ineffective and, suspecting psoriatic erythroderma, cyclosporine 150 mg daily was administered with tapering of the prednisolone. Two weeks after a dose reduction of cyclosporine to 100 mg/day, erythroderma with widespread generalized pustules and fever developed. Histology of a biopsy revealed inflammatory infiltrates in the skin with a spongiform pustule of Kogoj, which was consistent with generalized pustular psoriasis (GPP). Her pustules improved with additional etretinate 20 mg/day, but the erythroderma persisted and she consulted us. Three sessions of granulocyte and monocyte apheresis once weekly were effective for her condition and decreased her serum levels of IL-6 and IL-8. She had homozygous mutations of c.[28C>T] in IL36RN which cause p.[Arg10Ter]. She is the oldest reported case of GPP with a deficiency of interleukin-36 receptor antagonist (DITRA), although GPP in DITRA has been suggested to usually occur in younger cases with no pre-existing psoriasis vulgaris.

Adalimumab administration after infliximab therapy is a successful treatment strategy for generalized pustular psoriasis

2016 ◽  
Vol 44 (2) ◽  
pp. 202-204 ◽  
Author(s):  
Ai Matsumoto ◽  
Mayumi Komine ◽  
Masaru Karakawa ◽  
Megumi Kishimoto ◽  
Mamitaro Ohtsuki
Keyword(s):  
Successful Treatment ◽  
Treatment Strategy ◽  
Infliximab Therapy ◽  
Pustular Psoriasis ◽  
Generalized Pustular Psoriasis

Successful treatment with interleukin-17A antagonists of generalized pustular psoriasis in patients without IL36RN mutations

2018 ◽  
Vol 45 (7) ◽  
pp. 850-854 ◽  
Author(s):  
Dagmar Wilsmann-Theis ◽  
Lisa Marie Schnell ◽  
Veronika Ralser-Isselstein ◽  
Thomas Bieber ◽  
Michael P. Schön ◽  
...  
Keyword(s):  
Successful Treatment ◽  
Pustular Psoriasis ◽  
Interleukin 17A ◽  
Generalized Pustular Psoriasis

scholarly journals Two Cases of Generalized Pustular Psoriasis: Successful Treatment with Infliximab

2014 ◽  
Vol 26 (6) ◽  
pp. 787 ◽  
Author(s):  
Hoon-Soo Kim ◽  
Hyang-Suk You ◽  
Hyun-Ho Cho ◽  
Won Jeong Kim ◽  
Je-Ho Mun ◽  
...  
Keyword(s):  
Successful Treatment ◽  
Pustular Psoriasis ◽  
Generalized Pustular Psoriasis

Interleukin-36–Receptor Antagonist Deficiency and Generalized Pustular Psoriasis

2011 ◽  
Vol 365 (7) ◽  
pp. 620-628 ◽  
Author(s):  
Slaheddine Marrakchi ◽  
Philippe Guigue ◽  
Blair R. Renshaw ◽  
Anne Puel ◽  
Xue-Yuan Pei ◽  
...  
Keyword(s):  
Receptor Antagonist ◽  
Pustular Psoriasis ◽  
Generalized Pustular Psoriasis
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