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TNF-alpha Antagonist (Etanercept)로 치료된 Acrodermatitis Continua of Hallopeau 1예

Other Titles
 A Case of Acrodermatitis Continua of Hallopeau Treated with Etanercept. 
Authors
 박지훈  ;  이윤선  ;  노성민  ;  조수현  ;  박창욱  ;  이광훈 
Citation
 Korean Journal of Dermatology (대한피부과학회지), Vol.50(1) : 92-94, 2012 
Journal Title
 Korean Journal of Dermatology  (대한피부과학회지) 
ISSN
 4944-4739 
Issue Date
2012
Abstract
Acrodermatitis continua of Hallopeau (ACH) is a rare form of acropustular eruption characterized by a presence of aseptic pustules on inflammatory periungual or subungual regions. Frequently accompanied by paronychia, atrophic skin changes, onychodystrophy, and osteolysis of distal phalanges of the digits, it is considered to be a variant of pustular psoriasis with a chronic relapsing course and refractoriness to many therapeutic modalities. Here, we present a case of a 45-year-old female who presented with multiple pustules pathologically diagnosed as pustular psoriasis on her left thumb. She suffered from ACH for over a decade, and in the process experienced frequent relapses and showed poor response to numerous treatment modalities such as narrow band UVB, topical steroid, steroid intralesional injection, oral retinoids, 308 nm excimer laser, and oral immune suppressants. However, the patient showed dramatic clinical improvements to administration of etanercept (TNF-alpha antagonist, twice a week) for a period of one month. The cessation of etanercept led to recurrence of symptoms and marked deterioration of the skin lesion within a month again, but the re-initiation of treatment soon relieved the problem. After completion of a three months trial of etanercept, the cutaneous lesion subsided, and the patient is now successfully controlled with topical steroid maintenance therapy. Hereby, we report a patient with ACH successfully treated with etanercept.
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/92400
Appears in Collections:
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Dermatology (피부과학교실)
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Yonsei Biomedical Research Center (연세의생명연구원)
Yonsei Authors
박창욱(Park, Chang Ook) ; 이광훈(Lee, Kwang Hoon) ; 이윤선(Lee, Yun Sun)
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