Case Report

J Rheum Dis 2015; 22(3): 186-189

Published online June 30, 2015

© Korean College of Rheumatology

A Case of Varicelliform Zoster in a Patient Treated with Etanercept for Ankylosing Spondylitis

Sun Hee Na, Eun Young Nam, Pyoeng Gyun Choe, Wan Beom Park, Nam Joong Kim, Myoung-don Oh, Eun Young Lee, Nak-Hyun Kim

Department of Internal Medicine, Seoul National University Hospital, Seoul, Korea

Correspondence to : Nak-Hyun Kim

Received: May 14, 2014; Revised: July 15, 2014; Accepted: July 23, 2014

Abstract

Tumor necrosis factor-α (TNF-α) inhibitors are increasingly used in treatment of inflammatory disorders because of their im-munomodulatory efficacy. Increased risk of infection is an adverse effect of anti-TNF-α therapy. The incidence rate and severity of herpes zoster is significantly higher in patients on anti-TNF-α therapy than in the general population. The clinical pre-sentation of varicella zoster virus infection is also often atypical in these patients. We experienced a patient who presented with a disseminated varicelliform rash while on etanercept therapy for ankylosing spondylitis. (J Rheum Dis 2015;22:186-189)

Keywords Herpes zoster, TNFR-Fc fusion protein, Ankylosing spondylitis

Article

Case Report

J Rheum Dis 2015; 22(3): 186-189

Published online June 30, 2015

Copyright © Korean College of Rheumatology.

A Case of Varicelliform Zoster in a Patient Treated with Etanercept for Ankylosing Spondylitis

Sun Hee Na, Eun Young Nam, Pyoeng Gyun Choe, Wan Beom Park, Nam Joong Kim, Myoung-don Oh, Eun Young Lee, Nak-Hyun Kim

Department of Internal Medicine, Seoul National University Hospital, Seoul, Korea

Correspondence to:Nak-Hyun Kim

Received: May 14, 2014; Revised: July 15, 2014; Accepted: July 23, 2014

Abstract

Tumor necrosis factor-α (TNF-α) inhibitors are increasingly used in treatment of inflammatory disorders because of their im-munomodulatory efficacy. Increased risk of infection is an adverse effect of anti-TNF-α therapy. The incidence rate and severity of herpes zoster is significantly higher in patients on anti-TNF-α therapy than in the general population. The clinical pre-sentation of varicella zoster virus infection is also often atypical in these patients. We experienced a patient who presented with a disseminated varicelliform rash while on etanercept therapy for ankylosing spondylitis. (J Rheum Dis 2015;22:186-189)

Keywords: Herpes zoster, TNFR-Fc fusion protein, Ankylosing spondylitis

JRD
Oct 01, 2024 Vol.31 No.4, pp. 191~263
COVER PICTURE
Ancestry-driven pathways for SLE-risk SNP-associated genes. The ancestry-driven key signaling pathways in Asians, Europeans, and African Americans were analyzed by enrichr (https://maayanlab.cloud/Enrichr/#libraries) using non-HLA SNP-associated genes. SLE: systemic lupus erythematosus, SNP: single-nucleotide polymorphism, JAK–STAT: janus kinase–signal transducers and activators of transcription, IFN: interferon gamma. (J Rheum Dis 2024;31:200-211)

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