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Improvement of Pyoderma Gangrenosum and Psoriasis Associated With Crohn Disease With AntiTumor Necrosis Factor Monoclonal Antibody
Mei-Heng Tan, MD;
Marsha Gordon, MD;
Oscar Lebwohl, MD;
James George, MD;
Mark G. Lebwohl, MD
Arch Dermatol. 2001;137:930-933.
Background Infliximab is an antitumor necrosis factor monoclonal antibody IgG effective in the treatment and maintenance of remission of active refractory Crohn disease and associated draining enterocutaneous fistulae. Multiple infusions of infliximab show promising results in patients with rheumatoid arthritis. Currently, there is limited clinical experience with infliximab, and no published reports exist on its use in cutaneous disorders.
Observations We describe 2 patients with Crohn disease and pyoderma gangrenosum and 1 patient with Crohn disease and psoriasis who were treated with infliximab for recalcitrant Crohn fistulae, with concurrent improvement in their skin diseases.
Conclusions These cases suggest that infliximab, a promising therapeutic agent for refractory Crohn disease and fistulae, may also be effective in the treatment of pyoderma gangrenosum and psoriasis associated with Crohn disease.
From the Departments of Dermatology (Drs Tan, Gordon, and M. G. Lebwohl) and Gastroenterology (Dr George), The Mount Sinai School of Medicine of New York University, and Division of Gastroenterology, Columbia-Presbyterian Medical Center (Dr O. Lebwohl), New York, NY.
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