期刊
MODERN RHEUMATOLOGY CASE REPORTS
卷 5, 期 1, 页码 36-39出版社
TAYLOR & FRANCIS LTD
DOI: 10.1080/24725625.2020.1741116
关键词
Subacute thyroiditis; psoriatic arthritis; adalimumab
类别
This case report describes a 71-year-old Japanese female with psoriatic arthritis who was switched to a new medication due to treatment failure, leading to the discovery and treatment of subacute thyroiditis. Following treatment with the new drug ixekizumab, the patient's arthritis improved.
A 71-year-old Japanese female with psoriatic arthritis (PsA) was admitted for fever and neck pain. Her medication had been switched from secukinumab, an interleukin (IL)-17A inhibitor, to adalimumab, a tumour necrosis factor (TNF)-alpha inhibitor, due to secondary failure for PsA. She was diagnosed with subacute thyroiditis (SAT) on the basis of thyroid hormone levels and thyroid ultrasound findings. Her SAT symptoms improved with prednisolone administration (15 mg/day). Following the administration of ixekizumab, an IL-17A inhibitor, her PsA improved without SAT relapse. SAT mechanism associated with TNF inhibitors remains unknown, but cytokine imbalance may be involved.
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