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Sarcoid-like granulomatosis in patients treated with anti-TNFα factors. A case report and review of the literature

Identifieur interne : 001669 ( Main/Exploration ); précédent : 001668; suivant : 001670

Sarcoid-like granulomatosis in patients treated with anti-TNFα factors. A case report and review of the literature

Auteurs : Theoni Kanellopoulou [Grèce] ; Anna Filiotou [Grèce] ; Hariklia Kranidioti [Grèce] ; Spyridon P. Dourakis [Grèce]

Source :

RBID : ISTEX:6360AAFBEAB44ECD26676D83DD98B0B90E9C7091

English descriptors

Abstract

Abstract: This report describes a 56-year-old woman who developed granulomatous lesions consistent with sarcoidosis during adalimumab therapy for rheumatoid arthritis. Cervical and axillary lymphadenopathy developed approximately 21 months after adalimumab administration. Non-caseating epithelioid cell granulomas consistent with sarcoidosis were detected both in an axillary lymph node specimen and in the bone marrow. Diseases showing similar histologic changes, especially tuberculosis, were excluded, and a diagnosis of sarcoidosis was made. Adalimumab was discontinued, and recovery was observed. The current case is, to our knowledge, the first to describe adalimumab-induced non-caseating granulomas in lymph nodes and bone marrow without pulmonary involvement in a patient treated for rheumatoid arthritis.

Url:
DOI: 10.1007/s10067-010-1603-3


Affiliations:


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