PMID- 25504263 OWN - NLM STAT- MEDLINE DCOM- 20150709 LR - 20220801 IS - 1534-6315 (Electronic) IS - 1529-7322 (Linking) VI - 15 IP - 2 DP - 2015 Feb TI - Immune reconstitution inflammatory syndrome associated with biologic therapy. PG - 499 LID - 10.1007/s11882-014-0499-4 [doi] AB - The use of biologics in the treatment of autoimmune disease, cancer, and other immune conditions has revolutionized medical care in these areas. However, there are drawbacks to the use of these medications including increased susceptibility to opportunistic infections. One unforeseen risk once opportunistic infection has occurred with biologic use is the onset of immune reconstitution inflammatory syndrome (IRIS) upon drug withdrawal. Although originally described in human immunodeficiency virus (HIV) patients receiving highly active antiretroviral therapy, it has become clear that IRIS may occur when recovery of immune function follows opportunistic infection in the setting of previous immune compromise/suppression. In this review, we draw attention to this potential pitfall on the use of biologic drugs. FAU - Gupta, Malika AU - Gupta M AD - Division of Allergy and Immunology, Children's Hospital of Philadelphia, Philadelphia, PA, USA. FAU - Jafri, Kashif AU - Jafri K FAU - Sharim, Rebecca AU - Sharim R FAU - Silverman, Susanna AU - Silverman S FAU - Sindher, Sayantani B AU - Sindher SB FAU - Shahane, Anupama AU - Shahane A FAU - Kwan, Mildred AU - Kwan M LA - eng PT - Journal Article PT - Review PL - United States TA - Curr Allergy Asthma Rep JT - Current allergy and asthma reports JID - 101096440 RN - 0 (Antibodies) RN - 0 (Tumor Necrosis Factor-alpha) SB - IM MH - Animals MH - Antibodies/adverse effects MH - Biological Therapy/*adverse effects MH - Humans MH - Immune Reconstitution Inflammatory Syndrome/*immunology MH - Tumor Necrosis Factor-alpha/antagonists & inhibitors EDAT- 2014/12/17 06:00 MHDA- 2015/07/15 06:00 CRDT- 2014/12/16 06:00 PHST- 2014/12/16 06:00 [entrez] PHST- 2014/12/17 06:00 [pubmed] PHST- 2015/07/15 06:00 [medline] AID - 10.1007/s11882-014-0499-4 [doi] PST - ppublish SO - Curr Allergy Asthma Rep. 2015 Feb;15(2):499. doi: 10.1007/s11882-014-0499-4.