Paradoxical inflammatory blepharitis in a patient with Crohn's disease.


Journal

Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus
ISSN: 1528-3933
Titre abrégé: J AAPOS
Pays: United States
ID NLM: 9710011

Informations de publication

Date de publication:
21 Oct 2023
Historique:
received: 19 06 2023
revised: 24 08 2023
accepted: 28 08 2023
pubmed: 24 10 2023
medline: 24 10 2023
entrez: 23 10 2023
Statut: aheadofprint

Résumé

We report the case of a 15-year-old boy with severe inflammatory blepharitis who was being treated with a TNFα inhibitor for Crohn's disease (CD). This case shows the potential utility of a skin biopsy in distinguishing metastatic CD associated with granulomatous blepharitis from a paradoxical blepharitis induced by anti-TNFα. It also demonstrates that ustekinumab can be considered in patients with CD who cannot tolerate TNFα inhibitors because of cutaneous paradoxical reactions.

Identifiants

pubmed: 37871794
pii: S1091-8531(23)00217-3
doi: 10.1016/j.jaapos.2023.08.012
pii:
doi:

Types de publication

Case Reports

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

Copyright © 2023 American Association for Pediatric Ophthalmology and Strabismus. Published by Elsevier Inc. All rights reserved.

Auteurs

Inès Chircop (I)

Department of Dermatology, Hôpital Edouard Herriot, Lyon, France. Electronic address: ines.chircop@chu-lyon.fr.

Damien Guindolet (D)

Department of Ophthalmology, Fondation A. de Rothschild, AP-HP, Paris, France.

Maxime Battistella (M)

Department of Pathology, Hôpital Saint-Louis, AP-HP, Paris, France; Inserm HIPI U976, team 1: onco-dermatology and therapies.

Christine Martinez-Vinson (C)

Department of Gastroenterology, Hôpital Robert Debre, AP-HP, Paris, France.

Emmanuelle Bourrat (E)

Department of General Pediatrics, Infectious Disease and Internal Medicine, Hôpital Robert Debré, AP-HP, Paris, France.

Classifications MeSH