PMID- 15898294 OWN - NLM STAT- MEDLINE DCOM- 20050722 LR - 20151119 IS - 1545-9616 (Print) IS - 1545-9616 (Linking) VI - 4 IP - 3 DP - 2005 May-Jun TI - The successful use of etanercept in combination therapy for treatment of acrodermatitis continua of hallopeau. PG - 360-4 AB - Acrodermatitis continua of Hallopeau (ACH) is a rare form of pustular psoriasis which poses a challenge to treat and causes considerable pain and suffering for those afflicted. Tumor necrosis factor-alpha (TNF-alpha) is a pro-inflammatory cytokine involved in the pathogenesis of ACH and other forms of psoriasis. Inhibition of TNF-alpha has been shown to provide benefit in such inflammatory conditions as rheumatoid arthritis, psoriatic arthritis, and, most recently, plaque psoriasis. In this report, we present the case of a 65-year-old man with a 9-year history of recalcitrant ACH who demonstrated significant and sustained clinical improvement when etanercept, a competitive inhibitor of TNF-alpha, was added to his treatment regimen of acitretin and topical corticosteroids over a 12-week period. FAU - Kazinski, Kimberly AU - Kazinski K AD - Department of Dermatology, San Antonio Uniformed Services Health Education Consortium, Wilford Hall USAF Medical Center, San Antonio, TX, USA. FAU - Joyce, Kathleen M AU - Joyce KM FAU - Hodson, Darryl AU - Hodson D LA - eng PT - Case Reports PT - Journal Article PL - United States TA - J Drugs Dermatol JT - Journal of drugs in dermatology : JDD JID - 101160020 RN - 0 (Adrenal Cortex Hormones) RN - 0 (Immunoglobulin G) RN - 0 (Receptors, Tumor Necrosis Factor) RN - LCH760E9T7 (Acitretin) RN - OP401G7OJC (Etanercept) SB - IM CIN - J Drugs Dermatol. 2006 Sep;5(8):705-6. PMID: 16991229 MH - Acitretin/*administration & dosage MH - Acrodermatitis/*drug therapy/pathology MH - Adrenal Cortex Hormones/*administration & dosage MH - Aged MH - Drug Therapy, Combination MH - Etanercept MH - Humans MH - Immunoglobulin G/*administration & dosage MH - Male MH - Psoriasis/drug therapy/pathology MH - Receptors, Tumor Necrosis Factor/*administration & dosage EDAT- 2005/05/19 09:00 MHDA- 2005/07/23 09:00 CRDT- 2005/05/19 09:00 PHST- 2005/05/19 09:00 [pubmed] PHST- 2005/07/23 09:00 [medline] PHST- 2005/05/19 09:00 [entrez] PST - ppublish SO - J Drugs Dermatol. 2005 May-Jun;4(3):360-4.