Leflunomide-induced toxic epidermal necrolysis in a patient with rheumatoid arthritis

Hassikou, H.; Haouri, M. El; Tabache, Fatima; Baaj, M. El; Safi, S.; Hadri, L.

doi:10.1016/j.jbspin.2007.08.013

Cited by 19 publications

(15 citation statements)

References 6 publications

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“…Drug-induced subacute cutaneous lupus erythematosus has been noted in patients with rheumatoid arthritis [31][32][33] (Figs 1 and 2), Sj€ ogren syndrome, 34 and ankylosing spondylitis. 35 Erythema multiforme 36 and toxic epidermal necrolysis [37][38][39] have also been reported. Other dermatologic diseases precipitated by leflunomide include a mucocutaneous lichen planuselike eruption, 40 a photodistributed lichenoid drug reaction, 41 Reiter syndrome, 42 leukocytoclastic vasculitis, 43,44 leg ulcers, 45 alopecia areata, 46 and a syringotropic hypersensitivity reaction.…”

Section: Side Effects and Adverse Cutaneous Eventsmentioning

confidence: 99%

Leflunomide in dermatology

Boyd

2012

Journal of the American Academy of Dermatology

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Section: Side Effects and Adverse Cutaneous Eventsmentioning

confidence: 99%

Leflunomide in dermatology

Boyd

2012

Journal of the American Academy of Dermatology

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“…All of them have been discussed and reported during treatment with Teriflunomide as well. Very rare side-effects of Leflunomide include single cases of toxic epidermal necrolysis (TEN) [ 56 , 57 ], two cases of pericarditis [ 58 ], and two cases of progressive multifocal leukoencephalopathy (PML) [ 59 , 60 ] in approximately 2.1 million patient-years of use [ 61 ]. While there is one case of TEN during Teriflunomide treatment, pericarditis and PML have not yet been reported in patients receiving Teriflunomide.…”

Section: From Leflunomide To Teriflunomidementioning

confidence: 99%

From Leflunomide to Teriflunomide: Drug Development and Immunosuppressive Oral Drugs in the Treatment of Multiple Sclerosis

Aly

Hemmer

Korn

2017

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Background: Immunosuppressive drugs have been used in the treatment of multiple sclerosis (MS) for a long time. Today, orally available second generation immunosuppressive agents have been approved or are filed for licensing as MS therapeutics. Due to semi-selective targeting of cellular processes, these second-generation immunosuppressive compounds might rather be immunomodulatory. For example, Teriflunomide inhibits the de novo pyrimidine synthesis and thus only targets rapidly proliferating cells, including lymphocytes. It is used as first line disease modifying therapy (DMT) in relapsing-remitting MS (RRMS).Methods: Review of online content related to oral immunosuppressants in MS with an emphasis on Teriflunomide.Results: Teriflunomide and Cladribine are second-generation immunosuppressants that are efficient in the treatment of MS patients. For Teriflunomide, a daily dose of 14 mg reduces the annualized relapse rate (ARR) by more than 30% and disability progression by 30% compared to placebo. Cladribine reduces the ARR by about 50% compared to placebo but has not yet been licensed due to unresolved safety concerns. We also discuss the significance of older immunosuppressive compounds including Azathioprine, Mycophenolate mofetile, and Cyclophosphamide in current MS therapy.Conclusion: Teriflunomide has shown a favorable safety and efficacy profile in RRMS and is a therapeutic option for a distinct group of adult patients with RRMS.

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“…Hassikou et al have only reported a case of reversible ocular mucosal ulcers induced from its application for the therapy of RA. 93…”

Section: Anti-metabolitesmentioning

confidence: 99%

Review: Ocular side effects of anti-rheumatic medications: what a rheumatologist should know

Peponis

Kyttaris

Chalkiadakis

et al. 2010

Lupus

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Nearly every drug may cause changes to ocular tissues through a variety of mechanisms. Medication overdoses, drug-drug interactions but also chronic administration of medications at the recommended doses may lead to ocular toxicity. The ocular side effects, screening for eye toxicity and treatment guidelines for anti-inflammatory and immunosuppressive drugs commonly used by rheumatologists are reviewed herein.

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Leflunomide-induced toxic epidermal necrolysis in a patient with rheumatoid arthritis

Cited by 19 publications

References 6 publications

Leflunomide in dermatology

Leflunomide in dermatology

From Leflunomide to Teriflunomide: Drug Development and Immunosuppressive Oral Drugs in the Treatment of Multiple Sclerosis

Review: Ocular side effects of anti-rheumatic medications: what a rheumatologist should know

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