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. 2012 Aug;87(8):739–745. doi: 10.1016/j.mayocp.2012.04.011

TABLE 1.

Clinical Characteristics of 8 Patients With Vasculitis Associated With TNF-α Inhibitorsa

Patient No. Age (y)/sex Conditionb Anti–TNF-α agent Duration of treatment (mo)c Korean algorithm scored Organ involvement Cutaneous lesions Type of vasculitis Use of anti–TNF-α agent discontinued Time to resolution (mo)e Treatment Outcome
1 54/F Rheumatoid arthritis Etanercept 12 9 Cutaneous Ulcerated lesions, erythematous macules, blisters CSVV Yes 1 Prednisone Complete response
2 70/M Rheumatoid arthritis Infliximab 72 9 Cutaneous Palpable purpura CSVV Yes 2 Prednisone, rituximab Complete response
3 43/F Rheumatoid arthritis Etanercept 36 9 Peripheral nerve None Neuropathy Yes 24 Prednisone, cyclophosphamide Partial response
4 18/F Crohn disease Adalimumab 60 9 Cutaneous, peripheral nerve Palpable purpura CSVV, neuropathy Yes 2 Prednisone, methotrexate Complete response
5 64/F Rheumatoid arthritis Infliximab 60 9 Cutaneous Palpable purpura, ulcerated lesions CSVV Yes 1 Prednisone, hydroxychloroquine Partial response
6 52/M Ulcerative colitis Infliximab 24 9 Peripheral nerve None Neuropathy Yes 6 Prednisone, azathioprine Complete response
7 21/F Ulcerative colitis Infliximab 6 6 Cutaneous, kidney Palpable purpura HSP Yes NAf Prednisone, mycophenolate mofetil No response
8 66/F Ulcerative colitis Infliximab 2 9 Peripheral nerve None Neuropathy Yes 12 Prednisone, mycophenolate mofetil Partial response
a

CSVV = cutaneous small-vessel vasculitis; HSP = Henoch-Schönlein purpura; NA = not applicable; TNF-α, = tumor necrosis factor-α.

b

The underlying condition was quiescent at the time vasculitis developed.

c

Before development of vasculitis.

d

Adverse drug reaction scores are as follows: 9 or higher for “certain,” 6 to 8 for “probable/likely,” 3 to 5 for “possible,” 1 to 2 for “unlikely,” and less than 0 for “contradictory.”12

e

After discontinued use of the anti–TNF-α agent.

f

Skin lesions persisted.