Successful treatment of severe acrodermatitis continua of hallopeau with Bimekizumab: A case report

Acrodermatitis continua of Hallopeau is a rare form of pustular psoriasis affecting the acral fingers and toes, characterized by recurrent eruptions of sterile pustules that lead to significant pain and potentially irreversible destruction of the nail apparatus. Symptoms are often refractory to topi...

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Main Authors: Lily Xu, Kaiyang Li, Eric Mutter, Annie Langley
Format: Article
Language:English
Published: SAGE Publishing 2025-01-01
Series:SAGE Open Medical Case Reports
Online Access:https://doi.org/10.1177/2050313X241311043
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author Lily Xu
Kaiyang Li
Eric Mutter
Annie Langley
author_facet Lily Xu
Kaiyang Li
Eric Mutter
Annie Langley
author_sort Lily Xu
collection DOAJ
description Acrodermatitis continua of Hallopeau is a rare form of pustular psoriasis affecting the acral fingers and toes, characterized by recurrent eruptions of sterile pustules that lead to significant pain and potentially irreversible destruction of the nail apparatus. Symptoms are often refractory to topical and systemic therapies for psoriasis. This case report presents a healthy 23-year-old female with severe acrodermatitis continua of Hallopeau, destructing all 10 fingernails. Treatment with Bimekizumab, a monoclonal antibody that inhibits interleukin-17, led to 50% improvement by 2 months, and complete normal regrowth of all fingernails by 1 year. The medication was tolerated well without any reported side effects. This is the second reported case of successful acrodermatitis continua of Hallopeau treatment with Bimekizumab, highlighting its potential as an effective and safe option for this challenging and recalcitrant condition.
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institution Kabale University
issn 2050-313X
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publisher SAGE Publishing
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series SAGE Open Medical Case Reports
spelling doaj-art-cfa70927b942402288eac91a6f60318c2025-01-23T06:03:33ZengSAGE PublishingSAGE Open Medical Case Reports2050-313X2025-01-011310.1177/2050313X241311043Successful treatment of severe acrodermatitis continua of hallopeau with Bimekizumab: A case reportLily Xu0Kaiyang Li1Eric Mutter2Annie Langley3Family Medicine, Sioux Lookout Meno-Ya-Win Health Center, Sioux Lookout, ON, CanadaFaculty of Medicine and Health Sciences, McGill University, Montreal, QC, CanadaFaculty of Medicine, Division of Emergency Medicine, University of Ottawa, Ottawa, ON, CanadaFaculty of Medicine, Division of Dermatology, University of Ottawa, Ottawa, ON, CanadaAcrodermatitis continua of Hallopeau is a rare form of pustular psoriasis affecting the acral fingers and toes, characterized by recurrent eruptions of sterile pustules that lead to significant pain and potentially irreversible destruction of the nail apparatus. Symptoms are often refractory to topical and systemic therapies for psoriasis. This case report presents a healthy 23-year-old female with severe acrodermatitis continua of Hallopeau, destructing all 10 fingernails. Treatment with Bimekizumab, a monoclonal antibody that inhibits interleukin-17, led to 50% improvement by 2 months, and complete normal regrowth of all fingernails by 1 year. The medication was tolerated well without any reported side effects. This is the second reported case of successful acrodermatitis continua of Hallopeau treatment with Bimekizumab, highlighting its potential as an effective and safe option for this challenging and recalcitrant condition.https://doi.org/10.1177/2050313X241311043
spellingShingle Lily Xu
Kaiyang Li
Eric Mutter
Annie Langley
Successful treatment of severe acrodermatitis continua of hallopeau with Bimekizumab: A case report
SAGE Open Medical Case Reports
title Successful treatment of severe acrodermatitis continua of hallopeau with Bimekizumab: A case report
title_full Successful treatment of severe acrodermatitis continua of hallopeau with Bimekizumab: A case report
title_fullStr Successful treatment of severe acrodermatitis continua of hallopeau with Bimekizumab: A case report
title_full_unstemmed Successful treatment of severe acrodermatitis continua of hallopeau with Bimekizumab: A case report
title_short Successful treatment of severe acrodermatitis continua of hallopeau with Bimekizumab: A case report
title_sort successful treatment of severe acrodermatitis continua of hallopeau with bimekizumab a case report
url https://doi.org/10.1177/2050313X241311043
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AT ericmutter successfultreatmentofsevereacrodermatitiscontinuaofhallopeauwithbimekizumabacasereport
AT annielangley successfultreatmentofsevereacrodermatitiscontinuaofhallopeauwithbimekizumabacasereport