PMID- 18173611 OWN - NLM STAT- MEDLINE DCOM- 20080407 LR - 20181201 IS - 1365-4632 (Electronic) IS - 0011-9059 (Linking) VI - 47 IP - 1 DP - 2008 Jan TI - Leflunomide in subacute cutaneous lupus erythematosus - two sides of a coin. PG - 83-6 LID - 10.1111/j.1365-4632.2007.03333.x [doi] AB - BACKGROUND: Subacute cutaneous lupus erythematosus (SCLE), a distinct clinical subset of lupus erythematosus, remains a therapeutic challenge, especially in cases resistant to topical and standard systemic therapy. Leflunomide, a novel antirheumatic drug, has shown efficacy in the treatment of systemic lupus erythematosus in pilot studies. METHODS: We report two patients with SCLE who demonstrated the spectrum of possible clinical responses to leflunomide therapy. RESULTS: One patient experienced a complete clinical remission of symptoms, whereas the other developed a massive skin reaction which was distinctly related to the commencement of leflunomide therapy. CONCLUSION: To our knowledge, this is the first time that remission and deterioration of SCLE by leflunomide therapy have been described. FAU - Suess, Anke AU - Suess A AD - Department of Dermatology, University of Leipzig, Leipzig, Germany. anke.suess@medizin.uni-leipzig.de FAU - Sticherling, Michael AU - Sticherling M LA - eng PT - Case Reports PT - Journal Article PL - England TA - Int J Dermatol JT - International journal of dermatology JID - 0243704 RN - 0 (Antirheumatic Agents) RN - 0 (Enzyme Inhibitors) RN - 0 (Isoxazoles) RN - G162GK9U4W (Leflunomide) SB - IM MH - Adult MH - Aged MH - Antirheumatic Agents/*administration & dosage/adverse effects MH - Diagnosis, Differential MH - Drug Eruptions/diagnosis/*etiology MH - Enzyme Inhibitors/*administration & dosage/adverse effects MH - Erythema Multiforme/*chemically induced/diagnosis MH - Female MH - Fluorescent Antibody Technique, Direct MH - Humans MH - Isoxazoles/*administration & dosage/adverse effects MH - Leflunomide MH - Lupus Erythematosus, Cutaneous/*chemically induced/diagnosis/*drug therapy MH - Male MH - Skin/pathology EDAT- 2008/01/05 09:00 MHDA- 2008/04/09 09:00 CRDT- 2008/01/05 09:00 PHST- 2008/01/05 09:00 [pubmed] PHST- 2008/04/09 09:00 [medline] PHST- 2008/01/05 09:00 [entrez] AID - IJD3333 [pii] AID - 10.1111/j.1365-4632.2007.03333.x [doi] PST - ppublish SO - Int J Dermatol. 2008 Jan;47(1):83-6. doi: 10.1111/j.1365-4632.2007.03333.x.