A Rare Side Effect due to TNF-Alpha Blocking Agent: Acute Pleuropericarditis with Adalimumab

Tumor necrosis factor-alpha antagonism is an important treatment strategy in patients with rheumatoid arthritis, psoriatic arthritis, vasculitis, and ankylosing spondylitis. Adalimumab is one of the well-known tumor necrosis factor-alpha blocking agents. There are several side effects reported in pa...

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Main Authors: Hakan Ozkan, Ahmet Seckin Cetinkaya, Tekin Yildiz, Tahsin Bozat
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Case Reports in Rheumatology
Online Access:http://dx.doi.org/10.1155/2013/985914
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author Hakan Ozkan
Ahmet Seckin Cetinkaya
Tekin Yildiz
Tahsin Bozat
author_facet Hakan Ozkan
Ahmet Seckin Cetinkaya
Tekin Yildiz
Tahsin Bozat
author_sort Hakan Ozkan
collection DOAJ
description Tumor necrosis factor-alpha antagonism is an important treatment strategy in patients with rheumatoid arthritis, psoriatic arthritis, vasculitis, and ankylosing spondylitis. Adalimumab is one of the well-known tumor necrosis factor-alpha blocking agents. There are several side effects reported in patients with adalimumab therapy. Cardiac side effects of adalimumab are rare. Only a few cardiac side effects were reported. A 61-year-old man treated with adalimumab for the last 6 months due to psoriatic arthritis presented with typically acute pleuropericarditis. Chest X-ray and echocardiography demonstrated marked pericardial effusion. Patient was successfully evaluated for the etiology of acute pleuro-pericarditis. Every etiology was excluded except the usage of adalimumab. Adalimumab was discontinued, and patient was treated with 1200 mg of ibuprofen daily. Control chest X-ray and echocardiography after three weeks demonstrated complete resolution of both pleural and pericardial effusions. This case clearly demonstrated the acute onset of pericarditis with adalimumab usage. Acute pericarditis and pericardial effusion should be kept in mind in patients with adalimumab treatment.
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institution Kabale University
issn 2090-6889
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language English
publishDate 2013-01-01
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series Case Reports in Rheumatology
spelling doaj-art-14f5c22925844ab6a75d05c33b2add4f2025-02-03T05:46:25ZengWileyCase Reports in Rheumatology2090-68892090-68972013-01-01201310.1155/2013/985914985914A Rare Side Effect due to TNF-Alpha Blocking Agent: Acute Pleuropericarditis with AdalimumabHakan Ozkan0Ahmet Seckin Cetinkaya1Tekin Yildiz2Tahsin Bozat3Department of Cardiology, Medical Park Hospital, Hasim Iscan Cad, Fomara Meydani, No. 1, Osmangazi, 16220 Bursa, TurkeyDepartment of Cardiology, Medical Park Hospital, Hasim Iscan Cad, Fomara Meydani, No. 1, Osmangazi, 16220 Bursa, TurkeyDepartment of Respiratory Disease, Medical Park Hospital, 16220 Bursa, TurkeyDepartment of Cardiology, Medical Park Hospital, Hasim Iscan Cad, Fomara Meydani, No. 1, Osmangazi, 16220 Bursa, TurkeyTumor necrosis factor-alpha antagonism is an important treatment strategy in patients with rheumatoid arthritis, psoriatic arthritis, vasculitis, and ankylosing spondylitis. Adalimumab is one of the well-known tumor necrosis factor-alpha blocking agents. There are several side effects reported in patients with adalimumab therapy. Cardiac side effects of adalimumab are rare. Only a few cardiac side effects were reported. A 61-year-old man treated with adalimumab for the last 6 months due to psoriatic arthritis presented with typically acute pleuropericarditis. Chest X-ray and echocardiography demonstrated marked pericardial effusion. Patient was successfully evaluated for the etiology of acute pleuro-pericarditis. Every etiology was excluded except the usage of adalimumab. Adalimumab was discontinued, and patient was treated with 1200 mg of ibuprofen daily. Control chest X-ray and echocardiography after three weeks demonstrated complete resolution of both pleural and pericardial effusions. This case clearly demonstrated the acute onset of pericarditis with adalimumab usage. Acute pericarditis and pericardial effusion should be kept in mind in patients with adalimumab treatment.http://dx.doi.org/10.1155/2013/985914
spellingShingle Hakan Ozkan
Ahmet Seckin Cetinkaya
Tekin Yildiz
Tahsin Bozat
A Rare Side Effect due to TNF-Alpha Blocking Agent: Acute Pleuropericarditis with Adalimumab
Case Reports in Rheumatology
title A Rare Side Effect due to TNF-Alpha Blocking Agent: Acute Pleuropericarditis with Adalimumab
title_full A Rare Side Effect due to TNF-Alpha Blocking Agent: Acute Pleuropericarditis with Adalimumab
title_fullStr A Rare Side Effect due to TNF-Alpha Blocking Agent: Acute Pleuropericarditis with Adalimumab
title_full_unstemmed A Rare Side Effect due to TNF-Alpha Blocking Agent: Acute Pleuropericarditis with Adalimumab
title_short A Rare Side Effect due to TNF-Alpha Blocking Agent: Acute Pleuropericarditis with Adalimumab
title_sort rare side effect due to tnf alpha blocking agent acute pleuropericarditis with adalimumab
url http://dx.doi.org/10.1155/2013/985914
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