Successful Treatment of Ulcerative Colitis With Vedolizumab in a Patient With an Infliximab-Associated Psoriasiform Rash.

ACG Case Rep J

Inflammatory Bowel Disease Center, The University of Chicago Medicine, Chicago, IL ; Section of Gastroenterology, Hepatology and Nutrition, The University of Chicago Medicine, Chicago, IL.

Published: July 2015

AI Article Synopsis

  • Psoriatic skin lesions linked to anti-TNF agents are noted in medical literature, but their causes and best treatment methods are not well understood.
  • Vedolizumab, a new medication aimed at treating inflammatory bowel disease, has shown promise in addressing these skin lesions.
  • A patient with ulcerative colitis experienced infliximab-related skin issues, but switching to vedolizumab led to both the resolution of skin lesions and remission of the ulcerative colitis.

Article Abstract

Psoriatic skin lesions associated with anti-tumor necrosis factor (TNF) agents are well-described in the medical literature. However, the etiology and optimal management of this condition remain unclear. Vedolizumab is a novel, gut-specific, anti-integrin agent used for the treatment of inflammatory bowel disease (IBD). We report a case of infliximab-associated psoriasiform lesions in an ulcerative colitis patient. Transition to vedolizumab resulted in resolution of the cutaneous lesions without recurrence and remission of his ulcerative colitis.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4508952PMC
http://dx.doi.org/10.14309/crj.2015.70DOI Listing

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