| Literature DB >> 25739794 |
Dearbhla Kelly1, Oisin O'Connell1, Michael Henry1.
Abstract
A 61-year-old man presented with a 1-month history of breathlessness, chest pain and lethargy. He had been taking adalimumab for ankylosing spondylitis for 2 years. Pleural and pericardial effusions were both found. A video-assisted thorascopic (VATS) pleural and lung biopsy were performed. The pleural pathology showed eosinophils, acute inflammatory cells and lymphoid aggregates. The patient was positive for antinuclear, antidouble-stranded and antihistone antibodies consistent with drug-induced lupus due to adalimumab. His serositis resolved on withdrawal of the drug. Drug-induced lupus can occur as a consequence of anti-TNF-α agents from induction of autoimmunity in a predisposed host. 2015 BMJ Publishing Group Ltd.Entities:
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Year: 2015 PMID: 25739794 PMCID: PMC4368974 DOI: 10.1136/bcr-2014-207323
Source DB: PubMed Journal: BMJ Case Rep ISSN: 1757-790X