Spitz nevus and infliximab: association or coincidence?,
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , |
Tipo de documento: | Relatório |
Idioma: | eng |
Título da fonte: | Anais brasileiros de dermatologia (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0365-05962020000500615 |
Resumo: | Abstract Biological therapies, including anti-TNF agents, are important in the treatment of various chronic inflammatory diseases, including psoriasis, rheumatoid arthritis or inflammatory bowel disease. The increased use of these drugs translates into an increasing awareness of its adverse effects, which include malignancy. In this paper, we describe the case of a 28-year-old woman who developed a spitzoid melanocytic tumor after starting infliximab therapy for ulcerative colitis. The evidence for causality between anti-TNF and melanocytic proliferations is still sparse; nonetheless, treatment-associated immunosuppression seems to play a key role in this phenomenon. Therefore, a regular follow-up with a rigorous skin examination is essential in these patients. Noninvasive techniques such as dermoscopy or reflectance confocal microscopy are particularly useful diagnostic tools in these circumstances. |
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Spitz nevus and infliximab: association or coincidence?,Biological agentsConfocal microscopyDermoscopyNevus, epithelioid and spindle cellSkin neoplasmsAbstract Biological therapies, including anti-TNF agents, are important in the treatment of various chronic inflammatory diseases, including psoriasis, rheumatoid arthritis or inflammatory bowel disease. The increased use of these drugs translates into an increasing awareness of its adverse effects, which include malignancy. In this paper, we describe the case of a 28-year-old woman who developed a spitzoid melanocytic tumor after starting infliximab therapy for ulcerative colitis. The evidence for causality between anti-TNF and melanocytic proliferations is still sparse; nonetheless, treatment-associated immunosuppression seems to play a key role in this phenomenon. Therefore, a regular follow-up with a rigorous skin examination is essential in these patients. Noninvasive techniques such as dermoscopy or reflectance confocal microscopy are particularly useful diagnostic tools in these circumstances.Sociedade Brasileira de Dermatologia2020-10-01info:eu-repo/semantics/reportinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0365-05962020000500615Anais Brasileiros de Dermatologia v.95 n.5 2020reponame:Anais brasileiros de dermatologia (Online)instname:Sociedade Brasileira de Dermatologia (SBD)instacron:SBD10.1016/j.abd.2020.01.008info:eu-repo/semantics/openAccessQueirós,Catarina SoaresLaureano-Oliveira,AndréLopéz-Presa,DoloresFilipe,Pauloeng2020-11-12T00:00:00Zoai:scielo:S0365-05962020000500615Revistahttp://www.anaisdedermatologia.org.br/https://old.scielo.br/oai/scielo-oai.phpabd@sbd.org.br||revista@sbd.org.br1806-48410365-0596opendoar:2020-11-12T00:00Anais brasileiros de dermatologia (Online) - Sociedade Brasileira de Dermatologia (SBD)false |
dc.title.none.fl_str_mv |
Spitz nevus and infliximab: association or coincidence?, |
title |
Spitz nevus and infliximab: association or coincidence?, |
spellingShingle |
Spitz nevus and infliximab: association or coincidence?, Queirós,Catarina Soares Biological agents Confocal microscopy Dermoscopy Nevus, epithelioid and spindle cell Skin neoplasms |
title_short |
Spitz nevus and infliximab: association or coincidence?, |
title_full |
Spitz nevus and infliximab: association or coincidence?, |
title_fullStr |
Spitz nevus and infliximab: association or coincidence?, |
title_full_unstemmed |
Spitz nevus and infliximab: association or coincidence?, |
title_sort |
Spitz nevus and infliximab: association or coincidence?, |
author |
Queirós,Catarina Soares |
author_facet |
Queirós,Catarina Soares Laureano-Oliveira,André Lopéz-Presa,Dolores Filipe,Paulo |
author_role |
author |
author2 |
Laureano-Oliveira,André Lopéz-Presa,Dolores Filipe,Paulo |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Queirós,Catarina Soares Laureano-Oliveira,André Lopéz-Presa,Dolores Filipe,Paulo |
dc.subject.por.fl_str_mv |
Biological agents Confocal microscopy Dermoscopy Nevus, epithelioid and spindle cell Skin neoplasms |
topic |
Biological agents Confocal microscopy Dermoscopy Nevus, epithelioid and spindle cell Skin neoplasms |
description |
Abstract Biological therapies, including anti-TNF agents, are important in the treatment of various chronic inflammatory diseases, including psoriasis, rheumatoid arthritis or inflammatory bowel disease. The increased use of these drugs translates into an increasing awareness of its adverse effects, which include malignancy. In this paper, we describe the case of a 28-year-old woman who developed a spitzoid melanocytic tumor after starting infliximab therapy for ulcerative colitis. The evidence for causality between anti-TNF and melanocytic proliferations is still sparse; nonetheless, treatment-associated immunosuppression seems to play a key role in this phenomenon. Therefore, a regular follow-up with a rigorous skin examination is essential in these patients. Noninvasive techniques such as dermoscopy or reflectance confocal microscopy are particularly useful diagnostic tools in these circumstances. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-10-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/report |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
report |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0365-05962020000500615 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0365-05962020000500615 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1016/j.abd.2020.01.008 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Dermatologia |
publisher.none.fl_str_mv |
Sociedade Brasileira de Dermatologia |
dc.source.none.fl_str_mv |
Anais Brasileiros de Dermatologia v.95 n.5 2020 reponame:Anais brasileiros de dermatologia (Online) instname:Sociedade Brasileira de Dermatologia (SBD) instacron:SBD |
instname_str |
Sociedade Brasileira de Dermatologia (SBD) |
instacron_str |
SBD |
institution |
SBD |
reponame_str |
Anais brasileiros de dermatologia (Online) |
collection |
Anais brasileiros de dermatologia (Online) |
repository.name.fl_str_mv |
Anais brasileiros de dermatologia (Online) - Sociedade Brasileira de Dermatologia (SBD) |
repository.mail.fl_str_mv |
abd@sbd.org.br||revista@sbd.org.br |
_version_ |
1752126424168267776 |