RESUMEN
This report describes a case of facial hyperpigmentation in a patient with Crohn's disease receiving adalimumab, a tumor necrosis factor (TNF)-alpha inhibitor. The onset of hyperpigmentation coincided with adalimumab administration, and its discontinuation resulted in significant improvement. Histopathological findings suggest a postinflammatory process at the dermo-epidermal junction. However, the precise mechanism remains unclear.
Asunto(s)
Adalimumab , Enfermedad de Crohn , Hiperpigmentación , Humanos , Adalimumab/efectos adversos , Hiperpigmentación/inducido químicamente , Hiperpigmentación/patología , Enfermedad de Crohn/tratamiento farmacológico , Antiinflamatorios/efectos adversos , Antiinflamatorios/uso terapéutico , Femenino , Adulto , Factor de Necrosis Tumoral alfa/antagonistas & inhibidores , Cara/patología , MasculinoRESUMEN
Morphea is an auto-immune disease, and its association with other immune-mediated diseases should not come as a surprise. Dermatologists should be aware of its possible coexistence with severe systemic involvement.
Asunto(s)
Quiste Epidérmico , Raquitismo Hipofosfatémico Familiar , Humanos , Raquitismo Hipofosfatémico Familiar/complicaciones , Raquitismo Hipofosfatémico Familiar/diagnóstico , Raquitismo Hipofosfatémico Familiar/tratamiento farmacológico , Quiste Epidérmico/complicaciones , Alopecia/diagnóstico , Alopecia/tratamiento farmacológico , Alopecia/genética , Vitamina D/uso terapéuticoAsunto(s)
Displasia Ectodérmica/diagnóstico , Alopecia/complicaciones , Alopecia/diagnóstico por imagen , Niño , Displasia Ectodérmica/diagnóstico por imagen , Femenino , Enfermedades Genéticas Ligadas al Cromosoma X/complicaciones , Enfermedades Genéticas Ligadas al Cromosoma X/diagnóstico por imagen , Humanos , Cuero Cabelludo/anomalías , Cuero Cabelludo/fisiopatologíaRESUMEN
We highlight the importance of a thorough nail examination in every clinical encounter, especially in uremic patients. Absent lunula should prompt the clinician to rule out underlying kidney disease even in the absence of signs of uremia.
RESUMEN
Acitretin, indicated for generalized pustular psoriasis, was effective in concomitant classic Kaposi sarcoma.