Henoch-Schönlein Purpura with Adalimumab Therapy for Ulcerative Colitis: A Case Report and Review of the Literature

Tumor necrosis factor-α (TNFα) inhibitor therapy has signified an important milestone in the fight against many rheumatological disorders and inflammatory bowel disease (IBD). Cutaneous adverse events caused by this class of medications are well known but relatively uncommon. Most reactions are mild...

Full description

Saved in:
Bibliographic Details
Main Authors: Joseph J. LaConti, Jean A. Donet, Jeong Hee Cho-Vega, Daniel A. Sussman, Dana Ascherman, Amar R. Deshpande
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Rheumatology
Online Access:http://dx.doi.org/10.1155/2016/2812980
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832556354854715392
author Joseph J. LaConti
Jean A. Donet
Jeong Hee Cho-Vega
Daniel A. Sussman
Dana Ascherman
Amar R. Deshpande
author_facet Joseph J. LaConti
Jean A. Donet
Jeong Hee Cho-Vega
Daniel A. Sussman
Dana Ascherman
Amar R. Deshpande
author_sort Joseph J. LaConti
collection DOAJ
description Tumor necrosis factor-α (TNFα) inhibitor therapy has signified an important milestone in the fight against many rheumatological disorders and inflammatory bowel disease (IBD). Cutaneous adverse events caused by this class of medications are well known but relatively uncommon. Most reactions are mild and rarely warrant treatment withdrawal. Henoch-Schönlein purpura (HSP) is a disease with cutaneous vasculitis, arthritis, and gastrointestinal and renal involvement that is usually seen in children, though the worst complications are typically seen in adults. We present a case of HSP complicating adalimumab treatment in a patient with ulcerative colitis who had achieved endoscopic remission. We review similar cases reported in the literature and discuss the consequences of these autoimmune diseases.
format Article
id doaj-art-b1dda6b2d61d4db789aaf54b2876d76d
institution Kabale University
issn 2090-6889
2090-6897
language English
publishDate 2016-01-01
publisher Wiley
record_format Article
series Case Reports in Rheumatology
spelling doaj-art-b1dda6b2d61d4db789aaf54b2876d76d2025-02-03T05:45:38ZengWileyCase Reports in Rheumatology2090-68892090-68972016-01-01201610.1155/2016/28129802812980Henoch-Schönlein Purpura with Adalimumab Therapy for Ulcerative Colitis: A Case Report and Review of the LiteratureJoseph J. LaConti0Jean A. Donet1Jeong Hee Cho-Vega2Daniel A. Sussman3Dana Ascherman4Amar R. Deshpande5Division of Rheumatology, University of Miami Leonard Miller School of Medicine, Miami, FL 33136, USADivision of Gastroenterology, University of Miami Leonard Miller School of Medicine, Miami, FL 33136, USADepartment of Pathology, University of Miami Leonard Miller School of Medicine, Miami, FL 33136, USADivision of Gastroenterology, University of Miami Leonard Miller School of Medicine, Miami, FL 33136, USADivision of Rheumatology, University of Miami Leonard Miller School of Medicine, Miami, FL 33136, USADivision of Gastroenterology, University of Miami Leonard Miller School of Medicine, Miami, FL 33136, USATumor necrosis factor-α (TNFα) inhibitor therapy has signified an important milestone in the fight against many rheumatological disorders and inflammatory bowel disease (IBD). Cutaneous adverse events caused by this class of medications are well known but relatively uncommon. Most reactions are mild and rarely warrant treatment withdrawal. Henoch-Schönlein purpura (HSP) is a disease with cutaneous vasculitis, arthritis, and gastrointestinal and renal involvement that is usually seen in children, though the worst complications are typically seen in adults. We present a case of HSP complicating adalimumab treatment in a patient with ulcerative colitis who had achieved endoscopic remission. We review similar cases reported in the literature and discuss the consequences of these autoimmune diseases.http://dx.doi.org/10.1155/2016/2812980
spellingShingle Joseph J. LaConti
Jean A. Donet
Jeong Hee Cho-Vega
Daniel A. Sussman
Dana Ascherman
Amar R. Deshpande
Henoch-Schönlein Purpura with Adalimumab Therapy for Ulcerative Colitis: A Case Report and Review of the Literature
Case Reports in Rheumatology
title Henoch-Schönlein Purpura with Adalimumab Therapy for Ulcerative Colitis: A Case Report and Review of the Literature
title_full Henoch-Schönlein Purpura with Adalimumab Therapy for Ulcerative Colitis: A Case Report and Review of the Literature
title_fullStr Henoch-Schönlein Purpura with Adalimumab Therapy for Ulcerative Colitis: A Case Report and Review of the Literature
title_full_unstemmed Henoch-Schönlein Purpura with Adalimumab Therapy for Ulcerative Colitis: A Case Report and Review of the Literature
title_short Henoch-Schönlein Purpura with Adalimumab Therapy for Ulcerative Colitis: A Case Report and Review of the Literature
title_sort henoch schonlein purpura with adalimumab therapy for ulcerative colitis a case report and review of the literature
url http://dx.doi.org/10.1155/2016/2812980
work_keys_str_mv AT josephjlaconti henochschonleinpurpurawithadalimumabtherapyforulcerativecolitisacasereportandreviewoftheliterature
AT jeanadonet henochschonleinpurpurawithadalimumabtherapyforulcerativecolitisacasereportandreviewoftheliterature
AT jeongheechovega henochschonleinpurpurawithadalimumabtherapyforulcerativecolitisacasereportandreviewoftheliterature
AT danielasussman henochschonleinpurpurawithadalimumabtherapyforulcerativecolitisacasereportandreviewoftheliterature
AT danaascherman henochschonleinpurpurawithadalimumabtherapyforulcerativecolitisacasereportandreviewoftheliterature
AT amarrdeshpande henochschonleinpurpurawithadalimumabtherapyforulcerativecolitisacasereportandreviewoftheliterature