Litcius/Paper detail

Rapid resolution of pyoderma gangrenosum with brodalumab therapy

Michael W. Tee, Andrew Avarbock, Jonathan Ungar, John W. Frew

2020JAAD Case Reports27 citationsDOIOpen Access PDF

Abstract

Pyoderma gangrenosum (PG) is a burdensome ulcerative dermatosis, which presents in isolation or in association with other inflammatory conditions (eg, inflammatory bowel disease).1 PG can be therapeutically challenging, especially when first-line treatments (such as oral corticosteroids and cyclosporine) fail to resolve the condition.1,2 Although interleukin (IL)-17 and IL-23 antagonism may ameliorate disease activity, only case reports of secukinumab therapy currently exist.2 We report 2 cases of PG that showed rapid resolution in response to brodalumab, 210 mg/1.5 mg, for co-existing hidradenitis suppurativa (HS).

Topics & Concepts

MedicinePyoderma gangrenosumHidradenitis suppurativaSecukinumabInflammatory bowel diseaseDermatologyUstekinumabDupilumabAnakinraRescue therapyPsoriasisAdalimumabDiseaseAtopic dermatitisInternal medicinePsoriatic arthritisAutoimmune and Inflammatory DisordersHidradenitis Suppurativa and TreatmentsOral Health Pathology and Treatment