Control of porphyria cutanea tarda with anti-IL-17 secukinumab in a person with psoriasis living with HIV.


Journal

Oxford medical case reports
ISSN: 2053-8855
Titre abrégé: Oxf Med Case Reports
Pays: England
ID NLM: 101642070

Informations de publication

Date de publication:
Jul 2023
Historique:
received: 03 02 2023
revised: 13 04 2023
accepted: 29 05 2023
medline: 24 7 2023
pubmed: 24 7 2023
entrez: 24 7 2023
Statut: epublish

Résumé

A 65-year-old woman successfully treated for human immunodeficiency virus (HIV) and Hepatitis C virus was diagnosed with porphyria cutanea tarda (PCT) and treated by phlebotomies. She developed extensive psoriatic skin lesions resistant to topical treatments and methotrexate. She then received the anti-interleukin-17 (IL-17) secukinumab (Cosentyx) which improved her psoriatic skin lesions. Unexpectedly, her PCT skin lesions healed, allowing phlebotomy discontinuation over 2 years. Without lesions, the patient decided to discontinue secukinumab, leading to the recurrence of psoriatic and PCT skin lesions, which were controlled upon therapeutical rechallenge. No AIDS-related manifestations or infections developed, her CD4 count remained elevated and her HIV viral load was controlled under antiretroviral therapy. Both skin conditions and consequently the patient's quality of life have improved with secukinumab, allowing exposure to sunlight and phlebotomy discontinuation for >4 years. Likely, the IL-17 pathway is involved in the clinical manifestations of PCT, opening new avenues for therapeutical interventions.

Identifiants

pubmed: 37484558
doi: 10.1093/omcr/omad066
pii: omad066
pmc: PMC10359061
doi:

Types de publication

Case Reports

Langues

eng

Pagination

omad066

Informations de copyright

© The Author(s) 2023. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

Déclaration de conflit d'intérêts

None declared.

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Auteurs

Helbies Bedier (H)

Department of Medicine, Division of Hematology, McGill University Health Centre, Montreal, QC, Canada.
Department of Infectious Diseases and Immunity in Global Health, Research Institute of the McGill University Health Centre, Montreal, QC, Canada.

Stéphane Isnard (S)

Department of Infectious Diseases and Immunity in Global Health, Research Institute of the McGill University Health Centre, Montreal, QC, Canada.
Department of Medicine, Chronic Viral Illness Service, McGill University Health Centre, Montreal, QC, Canada.

Réjean Thomas (R)

Clinique l'Actuel, Montreal, QC, Canada.

Jean-Pierre Routy (JP)

Department of Medicine, Division of Hematology, McGill University Health Centre, Montreal, QC, Canada.
Department of Infectious Diseases and Immunity in Global Health, Research Institute of the McGill University Health Centre, Montreal, QC, Canada.
Department of Medicine, Chronic Viral Illness Service, McGill University Health Centre, Montreal, QC, Canada.

Classifications MeSH