Abstract
Coexistence of psoriasis and subacute cutaneous lupus erythematosus (SCLE) is unusual. Although there have been reports of this occurrence, there have been no reports of this overlap syndrome treated with immunomodulators. We describe a case of coexisting psoriasis and SCLE initially treated with infliximab, and then alefacept. The patient’s arthritis flared after the second infusion of infliximab, which was discontinued. During treatment with alefacept, the patient’s psoriasis improved markedly without exacerbation of his photosensitive SCLE lesions.
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References
Wohl Y, Brenner S.: Cutaneous LE or psoriasis: a tricky differential diagnosis. Lupus 2004; 13(1): 72–4
Zalla MJ, Muller SA.: The coexistence of psoriasis with lupus erythematosus and other photosensitive disorders. Acta Derm Venereol Suppl (Stockh) 1996; 195:1–15
Ferahbas A, Utas S, Canoz O.: The coexistence of subacute cutaneous lupus erythematosus and psoriasis. J Eur Acad Dermatol Venereol 2004 May; 18(3): 390–1
Baselga E, Puig L, Llobet J.: Linear psoriasis associated with systemic lupus erythematosus. J Am Acad Dermatol 1994 Jan; 30(1): 130–3
Hu CH, O’Connell BM, Farber EM.: Coexistent psoriasis and lupus erythematosus: what’s happening? Cutis 1985 Dec; 36(6): 449–50
Kulick KB, Mogavero Jr H, Provost TT.: Serologic studies in patients with lupus erythematosus and psoriasis. J Am Acad Dermatol 1983 May; 8(5): 631–4
Hays SB, Camisa C, Luzar MJ.: The coexistence of systemic lupus erythematosus and psoriasis. J Am Acad Dermatol 1984 Apr; 10(4): 619–22
Millns JL, Muller SA.: The coexistence of psoriasis and lupus erythematosus: an analysis of 27 cases. Arch Dermatol 1980 Jun; 116 (6): 658–63
Lynch WS, Roenigk Jr HH.: Lupus erythematosus and psoriasis vulgaris. Cutis 1978 Apr; 21(4): 511–6, 523-5
Kontochristopoulos GJ, Giannadaki M, Doulaveri G.: Psoriasis coexisting with subacute cutaneous lupus erythematosus. J Eur Acad Dermatol Venereol 2004 May; 18(3): 385–6
Liu CM, McKenna JK, Krueger GG.: Alefacept: a novel biologic in the treatment of psoriasis. Drugs Today (Barc) 2004 Dec; 40(12): 961–74
Gottlieb AB.: Alefacept is well tolerated in patients with chronic plaque psoriasis. J Cutan Med Surg 2004 Dec; 8 Suppl 2: 14–9
Weinberg JM.: An overview of infliximab, etanercept, efalizumab, and alefacept as biologic therapy for psoriasis. Clin Ther 2003 Oct; 25(10): 2487–505
Vabre-Latre CM, Bayle P, Marguery MC.: Worsening of subacute lupus erythematosus induced by infliximab. Ann Dermatol Venereol 2005 Apr; 132(4): 349–53
Aringer M, Smolen JS.: SLE-complex cytokine effects in a complex autoimmune disease: tumor necrosis factor in systemic lupus erythematosus. Arthritis Res Ther 2003; 5(4): 172–7
Aringer M, Graninger WB, Steiner G.: Safety and efficacy of tumor necrosis factor alpha blockade in systemic lupus erythematosus: an open-label study. Arthritis Rheum 2004 Oct; 50(10): 3161–9
Shakoor N, Michalska M, Harris CA.: Drug-induced systemic lupus erHolythematosus associated with etanercept therapy. Lancet 2002 Feb 16; 359 (9306): 579–80
High WA, Muldrow ME, Fitzpatrick JE.: Cutaneous lupus erythematosus induced by infliximab [letter]. J Am Acad Dermatol 2005 Apr; 52(4): 5
De Bandt M, Sibilia J, Le Loet X.: Systemic lupus erythematosus induced by anti-tumour necrosis factor alpha therapy: a French national survey. Arthritis Res Ther 2005; 7(3): 545–51
Acknowledgments
This study was funded in part by the National Institute of Arthritis and Musculoskeletal and Skin Diseases K24-CA86815 (MD) and by the Sherry L. Anderson CTCL Patient Research Fund. The authors have no conflicts of interest that are directly relevant to the content of this study.
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Berthelot, C., Nash, J. & Duvic, M. Coexistent Psoriasis and Lupus Erythematosus Treated with Alefacept. Am J Clin Dermatol 8, 47–50 (2007). https://doi.org/10.2165/00128071-200708010-00007
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DOI: https://doi.org/10.2165/00128071-200708010-00007