Treatment of recalcitrant generalized granuloma annulare with adalimumab
Torres, T.; Pinto Almeida, T.; Alves, R.; Sanches, M.; Selores, M.
Journal of Drugs in Dermatology Jdd 10(12): 1466-1468
2011
ISSN/ISBN: 1545-9616 PMID: 22134573 Document Number: 15828
Granuloma annulare is a benign, usually self-limited, dermatosis of unknown cause. Generalized lesions occur in approximately 15 percent of patients with GA and may cause mild to severe cosmetic disfigurement. The treatment of generalized granuloma annulare can be challenging. We report the case of a 36-year-old male patient with a generalized granuloma annulare who had failed topical and systemic glucocorticoids, systemic retinoids, dapsone, minocycline, PUVA therapy, and hydroxicloroquine and was successfully treated with adalimumab, an anti-TNF-α monoclonal antibody. Adalimumab may be an additional option in the treatment of recalcitrant forms of granuloma annulare.
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