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CASE REPORT
Year : 2021  |  Volume : 10  |  Issue : 3  |  Page : 212-214

Infliximab (an antitumor necrosis factor) induced lupus in a patient with inflammatory bowel disease


Department of Internal Medicine, King Fahad Specialized Hospital, Buraydah, Saudi Arabia

Correspondence Address:
Khaled M Alsubiaee
Department of Internal Medicine, King Fahad Specialized Hospital, Buraydah
Saudi Arabia
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/sjhs.sjhs_110_21

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Infliximab is a monoclonal antibody that works by inhibiting the proinflammatory cytokine and tumor necrosis factor-alpha. Systemic lupus erythematosus is an autoimmune disease that affects multiple organs, and its pathogenesis involves abnormal immune complexes, environment factors, and genetics. Several reports have documented a controversy regarding infliximab-induced lupus disease. This paper reports on infliximab-induced lupus in an 18-year-old Saudi female having short stature, hypogonadism, and Crohn's disease with ileocolonic fistula. The patient developed reactive arthritis, and serology showed positive anti-double strand DNA and antihistone antibodies after infliximab administration, suggesting drug-induced lupus. More cohort studies are recommended to monitor the presentation and reversibility of infliximab-induced lupus disease.


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