Canakinumab for the management of pyoderma gangrenosum: a case series of two patients and literature review.

IF 3.9
Howard Jie Yang, William Spratt, Francis Yi Xing Lai, Senhong Lee
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Abstract

Aims: To evaluate the efficacy and adverse events of canakinumab in the treatment of pyoderma gangrenosum (PG).

Methods: We report two cases of refractory PG treated with canakinumab after failing multiple therapies.

Results: A 44-year-old female achieved complete ulcer resolution after 31 months of canakinumab but experienced recurrent infections, including pneumonia requiring intensive care unit (ICU) admission. A 49-year-old male showed no improvement and suffered recurrent Pseudomonas infections, leading to treatment cessation after nine months.

Conclusions: We present a case series of two patients with PG on canakinumab therapy, both of whom experienced significant infections needing hospitalization. Further studies are needed to evaluate the efficacy and complication profile of canakinumab against other biologic therapy options.

Canakinumab治疗坏疽性脓皮病:2例患者和文献综述
目的:评价canakinumab治疗坏疽脓皮病(pyoderma gangrenosum, PG)的疗效和不良事件。方法:我们报告两例难治性PG在多次治疗失败后用canakinumab治疗。结果:一名44岁女性在使用canakinumab 31个月后溃疡完全消退,但出现复发性感染,包括需要重症监护病房(ICU)入院的肺炎。一名49岁男性没有任何改善,并反复出现假单胞菌感染,导致治疗在9个月后停止。结论:我们提出了两例接受canakinumab治疗的PG患者的病例系列,他们都经历了严重的感染,需要住院治疗。需要进一步的研究来评估canakinumab与其他生物治疗方案的疗效和并发症。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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