Disseminated tuberculosis in a patient with severe psoriasis treated with adalimumab
Keywords:
psoriasis, disseminated tuberculosis, adalimumab, secukinumabAbstract
WHO considers tuberculosis (TB) as one of the main causes of death worldwide, the first one among infectious diseases. Adalimumab is a monoclonal antibody that blocks the effect of tumor necrosis factor alpha (TNF-a) and is used widely for the treatment of severe psoriasis. A latent TBC may become active as a result of such therapy. We present a case of a 30-year-old man with severe plaque psoriasis treated with adalimumab who evolved with disseminated TB after four. The biologic therapy was withdrawn and he completed the TB treatment. Then, he started therapy with secukinumab (IL-17A) with excellent response.
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