“…Specifically, a higher proportion of patients treated with IFX, ADA, ETN, GOL and CZP may develop ANA>1:40, anti-dsDNA and other autoantibodies compared with placebo. In some patients, including those with positive rheumatoid factor, a lupus-like syndrome or skin reactions clinically and at pathology, compatible with subacute cutaneous lupus or discoid lupus, can occur ( 73 , 74 ). Thus, the new finding of anti-dsDNA antibodies must lead to anti-TNF drug discontinuation ( 75 ).…”