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[Wells' cellulitis and bacterial necrotizing cellulitis induced by anakinra]
M Livory1, J Wechsler, J Revuz
1Service de dermatologie, hôpital Henri-Mondor, 51, avenue du Maréchal-de-Lattre-de-Tassigny, 94010 Créteil cedex, France.
Background:
Anakinra is a recombinant form of the naturally occurring human interleukin-1 receptor antagonist. It is used in the treatment of rheumatoid arthritis. The most frequent side effects are injection site reactions, which seem to have a toxic mechanism.
Patients And Methods:
We report two unusual cases of injection site reactions with anakinra: a woman presented Wells' cellulitis of the thigh and a man developed serious bacterial cellulitis distinguished by deep necrosis at the site of the latest anakinra subcutaneous injection.
Discussion:
The cases are examples of serious side effects that can occur during treatment with anakinra and underline the need for careful use of this new biological agent.
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