Biologics Beyond Boundaries: Innovative Use of Biologics in Dermatology.

Several biologic agents have been approved for use in dermatology and other disciplines of medicine. However, based on the mechanism of action and a track record of the response, these agents are being increasingly used for off-label purposes to garner control of more remote and difficult disease pr...

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Publicado en:Indian Journal of Dermatology Vol. 66; no. 3; pp. 314 - 318
Autores principales: De, Abhishek, Chowdhury, Barnali, Khemka, Monika, Sarda, Aarti, Das, Sudip
Formato: case study pictorial Journal Article
Publicado: Wolters Kluwer India Pvt Ltd May/Jun2021
Acceso en línea:Ver este registro en EBSCOhost
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      dt: May/Jun2021
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      pub: Wolters Kluwer India Pvt Ltd
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        10.4103/ijd.IJD_128_20
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        atl: Biologics Beyond Boundaries: Innovative Use of Biologics in Dermatology.
      aug:
        au:
          De, Abhishek
          Chowdhury, Barnali
          Khemka, Monika
          Sarda, Aarti
          Das, Sudip
        affil: From the Department of Dermatology, Calcutta National Medical College, Kolkata, West Bengal
      sug:
        subj:
          Biological Products Therapeutic Use
          Pemphigoid, Bullous Drug Therapy
          Antibodies, Monoclonal Therapeutic Use
          Hansen's Disease Drug Therapy
          Tenosynovitis Drug Therapy
          Erythema Nodosum Drug Therapy
          Infliximab Therapeutic Use
          Pyoderma Gangrenosum Drug Therapy
          Dermatologic Agents Therapeutic Use
          Drug Efficacy
          Aged
          Female
          Adult
          Male
          Pemphigoid, Bullous
          Hansen's Disease Diagnosis
          Tenosynovitis Diagnosis
          Erythema Nodosum Diagnosis
          Biopsy, Needle
          Pyoderma Gangrenosum Diagnosis
          Leprostatic Agents Therapeutic Use
          Steroids Therapeutic Use
          Biopsy
          Fluoroimmunoassay
          Aged: 65+ years
          Adult: 19-44 years
          Female
          Male
      ab: Several biologic agents have been approved for use in dermatology and other disciplines of medicine. However, based on the mechanism of action and a track record of the response, these agents are being increasingly used for off-label purposes to garner control of more remote and difficult disease processes. Herein, we present three difficult to treat patients where innovative uses of biologics beyond their approved indications have yielded good responses. Our first patient was a case of bullous pemphigoid, who showed excellent response to omalizumab. The second case was a patient of lepromatous leprosy with tenosynovitis and erythema nodosum leprosum, who was treated effectively with infliximab. Our third case was a treatment-resistant pyoderma gangrenosum, where infliximab showed a very good response. In the present study, we report the cases to highlight the usefulness of biologics that can expand much beyond the routine FDA approved indications.
      pubtype: Academic Journal
      doctype:
        case study
        pictorial
        Journal Article
      ougenre: Article
    language: English
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