Abstract
A 61-year-old female with a 4-year history of disseminated granuloma annulare was successfully treated with the antitumor necrosis factor (TNF)-alpha antibody, adalimumab. The patient had failed high potency topical glucocorticoids, hydroxychloroquine, and narrow-band ultraviolet light (UV)-B phototherapy. Anti-TNF-alpha therapy may be a therapeutic option in patients with disseminated granuloma annulare poorly controlled with conventional medications.
MeSH terms
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Adalimumab
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Anti-Inflammatory Agents / therapeutic use*
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Antibodies, Monoclonal / therapeutic use*
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Antibodies, Monoclonal, Humanized
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Biopsy
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Female
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Granuloma Annulare / drug therapy*
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Granuloma Annulare / immunology
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Granuloma Annulare / pathology
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Histiocytes / pathology
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Histiocytes / ultrastructure
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Humans
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Middle Aged
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Treatment Outcome
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Tumor Necrosis Factor-alpha / antagonists & inhibitors
Substances
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Anti-Inflammatory Agents
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Antibodies, Monoclonal
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Antibodies, Monoclonal, Humanized
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Tumor Necrosis Factor-alpha
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Adalimumab