Evidence map›Paper›PMID 39012359›Full record

ReviewRheumatology international2024

Tocilizumab-induced psoriatic eruption : a case report and a case-based review.

Hubert Nielly, L Bialé, L Gilardin, T Carmoi, A Éon, H Vanquaethem, A-C Fougerousse

Abstract readCase ReportsReview
PubMed Publisher
In one paragraph

Review in Rheumatology international, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Hubert NiellyService de Médecine interne, Hôpital d'Instruction des Armées Bégin, 69 avenue de Paris, Saint-Mandé, 94160, France. hubert.nielly@intradef.gouv.fr.ORCID 0000-0002-8042-5716
L BialéService de Rhumatologie, HIA Bégin, Saint-Mandé, France.ORCID 0000-0001-8496-4330
L GilardinService de Médecine interne, Hôpital d'Instruction des Armées Bégin, 69 avenue de Paris, Saint-Mandé, 94160, France.ORCID 0000-0001-9212-0859
T CarmoiService de Médecine interne, Hôpital d'Instruction des Armées Bégin, 69 avenue de Paris, Saint-Mandé, 94160, France.ORCID 0000-0001-6787-718X
A ÉonService de Psychiatrie, HIA Bégin, Saint-Mandé, France.
H VanquaethemService de Médecine interne, Hôpital d'Instruction des Armées Bégin, 69 avenue de Paris, Saint-Mandé, 94160, France.ORCID 0000-0002-8262-9085
A-C FougerousseService de Dermatologie, HIA Bégin, Saint-Mandé, France.ORCID 0000-0002-2850-867X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCases of psoriasis associated with Tocilizumab (TCZ) are scarce.

objectiveTo describe a new case of TCZ-associated psoriasis and to perform a case-based review of similar cases.

methodsWe searched Medline/Pubmed, Embase, Scopus, Web of Science, and Directory of Open Access Journals databases using the terms « Tocilizumab » and « Psoriasis » in the French and English literature.

resultsWe report a 70-year-old woman with a history of Rheumatoid Arthritis who developed Infliximab-induced plaque psoriatic eruption of the soles and palms, that resolved after Infliximab interruption, then relapsed after TCZ relay, and eventually resolved after TCZ interruption. Including our case, we identified 16 cases of TCZ-induced psoriatic eruption. Three (21%) out of 14 patients had a history of cutaneous psoriasis - data were not available for 2 patients. Eight (50%) patients had previously received TNFα antagonists. TCZ was stopped for 10 patients and continued for 4 patients. For the 2 remaining patients, the interval between two injections of TCZ was shortened. All the patients with available follow-up data had an improvement of the eruption within 4 weeks.

conclusionTo conclude, in case of TCZ-induced psoriatic eruption and in light of the published cases, we suggest using topical steroids and reassessing the patient 4 weeks later. If no healing is obtained, we suggest stopping TCZ, and treating the underlying disease with another drug. When no other drug is available, while waiting for more data regarding the value of IL-6 levels, it can be discussed to increase TCZ regimen, as it has been successful for 2 authors. Efficacy assessment of the chosen attitude should not take place before 4 weeks.

Indexed as

Antibodies, Monoclonal, HumanizedArthritis, RheumatoidPsoriasisAgedAntirheumatic AgentsDrug EruptionsFemaleHumansInfliximabTreatment OutcomeAntibodies, Monoclonal, HumanizedAntirheumatic AgentsInfliximabtocilizumabCase-based reviewCase reportInterleukine 6PsoriasisSide effectsTocilizumab

Identifiers

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.