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
Jan 01, 2025 Vol.32 No.1, pp. 1~7
COVER PICTURE
Cumulative growth of rheumatology members and specialists (1980~2024). Cumulative distribution of the number of the (A) Korean College of Rheumatology members and (B) rheumatology specialists. (J Rheum Dis 2025;32:63-65)

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