Table 2.
Summary of patient characteristics experiencing monoclonal antibody-induced subacute cutaneous lupus erythematosus
Trait | Percentage | Further detail | Monoclonal antibody | No. of SCLE cases |
---|---|---|---|---|
Age, years (n = 52) |
Median 61 Mean 58.9 |
IQR 51–66 Range 28–82 |
Etanercept Adalimumab Infliximab Nivolumab Pembrolizumab Golimumab Bevacizumab Abatacept Rituximab Denosumab Efalizumab Natalizumab Ranibizumab Secukinumab Ixekizumab Atezolizumab Ustekinumab |
10 6 6 6 6 4 2 2 2 1 1 1 1 1 1 1 1 |
Sex | 73% female | 38/52 | ||
Ethnicity |
94% White 3% Omani 3% Brazilian |
27/33 1/3 1/33 |
||
Onset time, weeks (n = 47) |
Median 9 Mean 13.8 |
IQR 3–17 Range 1–100 |
||
Cessation time, weeks (n = 33) |
Median 8 Mean 14 |
IQR 3–17 Range 2–52 |
||
Lesion distribution (n = 44) |
68% trunk 64% arms 41% face 30% neck 30% legs 30% back 18% hands 14% head |
30/44 trunk 28/44 arms 18/44 face 13/44 neck 13/44 legs 13/44 back 8/44 hands 6/44 head |
||
First-line treatment (n = 49) | ||||
Serology |
85% ANA + 62% anti-Ro + 27% anti-dsDNA 42% anti-histone |
39/46 24/39 9/33 5/12 |
Monotherapy: Biologic cessation TOP corticosteroid only PO corticosteroid only DMARD only |
16% (8/49) 31% (15/49) 10% (5/49) 8% (4/49) |
Haematological |
Pancytopenia Lymphopenia Leukopenia Low complement |
2/52 3/52 4/52 4/52 |
Polytherapy: TOP + PO corticosteroid DMARD + PO corticosteroid DMARD + TOP corticosteroid DMARD + PO + TOP corticosteroid Other |
6% (3/49) 8% (4/49) 2% (1/49) 10% (5/49) 8% (4/49) |
ANA antinuclear antibodies, PO per oral, TOP topical, DMARD disease-modifying antirheumatic drug, IQR interquartile range, SCLE subacute cutaneous lupus erythematosus, dsDNA double-stranded DNA