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Published on: March 1, 2024
A case of refractory lupus nephritis complicated by psoriasis vulgaris that was controlled with secukinumab
Y Satoh1, K Nakano1, H Yoshinari1
1The First Department of Internal Medicine, School of Medicine, University of Occupational and Environmental Health, Japan.
Abstract:
It has been reported that T helper 17 cells are involved in the pathogenesis of systemic lupus erythematosus, but there is no report on interleukin-17-targeted therapy. We report a case of a 62-year-old female who presented with psoriasis vulgaris and refractory lupus nephritis. Because her conditions were resistant to conventional treatment, and flow cytometry confirmed the proliferation of activated T helper 17 cells in peripheral blood, and examination of a renal biopsy tissue sample confirmed infiltration of numerous interleukin-17-positive lymphocytes to the renal interstitium, administration of the anti-interleukin-17A antibody secukinumab was initiated. After starting secukinumab the clinical and biological features were improved.
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