PMID- 36157628 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230202 IS - 2163-0402 (Print) IS - 2163-0933 (Electronic) IS - 2163-0402 (Linking) VI - 12 IP - 1 DP - 2022 Feb TI - Skin Autoimmunity Secondary to Alemtuzumab in a Tertiary Care Spanish Hospital. PG - 29-35 LID - 10.1212/CPJ.0000000000001126 [doi] AB - BACKGROUND AND OBJECTIVES: The most common adverse events (AEs) after alemtuzumab (ALZ) include adverse infusion reactions, infections, and autoimmune disorders. Skin AEs are common during infusion, but there are few reported cases of long-term skin autoimmune disease. METHODS: A retrospective case series of patients developing long-term autoimmune skin disorders after ALZ administration in a tertiary care hospital. RESULTS: Of 133 patients treated with ALZ, 8 patients (6.02%) developed 9 autoimmune cutaneous AEs, including 4 events of alopecia areata, 2 of vitiligo, 2 of chronic urticaria, and 1 of inflammatory atrichia. Three of them occurred between the first and the second infusion. DISCUSSION: The lesions described are secondary to autoimmune disorders, probably related to immune dysregulation because of a differential lymphocyte repopulation after ALZ. Autoimmune cutaneous AEs may be frequent, and it would be recommended to monitor its appearance to treat them. CI - (c) 2021 American Academy of Neurology. FAU - Lopez Ruiz, Rocio AU - Lopez Ruiz R AUID- ORCID: 0000-0002-6807-0836 AD - Unidad de Esclerosis Multiple, Hospital Universitario Virgen Macarena, Sevilla, Espana. FAU - Sanchez Fernandez, Felix AU - Sanchez Fernandez F AD - Unidad de Esclerosis Multiple, Hospital Universitario Virgen Macarena, Sevilla, Espana. FAU - Ruiz de Arcos, Maria AU - Ruiz de Arcos M AD - Unidad de Esclerosis Multiple, Hospital Universitario Virgen Macarena, Sevilla, Espana. FAU - Dotor Garcia-Soto, Julio AU - Dotor Garcia-Soto J AD - Unidad de Esclerosis Multiple, Hospital Universitario Virgen Macarena, Sevilla, Espana. FAU - Fuerte Hortigon, Alejandro AU - Fuerte Hortigon A AD - Unidad de Esclerosis Multiple, Hospital Universitario Virgen Macarena, Sevilla, Espana. FAU - Navarro Mascarell, Guillermo AU - Navarro Mascarell G AD - Unidad de Esclerosis Multiple, Hospital Universitario Virgen Macarena, Sevilla, Espana. FAU - Ruiz Pena, Juan Luis AU - Ruiz Pena JL AD - Unidad de Esclerosis Multiple, Hospital Universitario Virgen Macarena, Sevilla, Espana. FAU - Paramo Camino, M Dolores AU - Paramo Camino MD AD - Unidad de Esclerosis Multiple, Hospital Universitario Virgen Macarena, Sevilla, Espana. FAU - Guerra Hiraldo, Juan Diego AU - Guerra Hiraldo JD AD - Unidad de Esclerosis Multiple, Hospital Universitario Virgen Macarena, Sevilla, Espana. FAU - Eichau, Sara AU - Eichau S AD - Unidad de Esclerosis Multiple, Hospital Universitario Virgen Macarena, Sevilla, Espana. LA - eng PT - Journal Article PL - United States TA - Neurol Clin Pract JT - Neurology. Clinical practice JID - 101577149 PMC - PMC9491501 EDAT- 2022/09/27 06:00 MHDA- 2022/09/27 06:01 PMCR- 2023/02/01 CRDT- 2022/09/26 17:11 PHST- 2021/03/01 00:00 [received] PHST- 2021/06/15 00:00 [accepted] PHST- 2022/09/26 17:11 [entrez] PHST- 2022/09/27 06:00 [pubmed] PHST- 2022/09/27 06:01 [medline] PHST- 2023/02/01 00:00 [pmc-release] AID - NEURCLINPRACT2021069372 [pii] AID - 10.1212/CPJ.0000000000001126 [doi] PST - ppublish SO - Neurol Clin Pract. 2022 Feb;12(1):29-35. doi: 10.1212/CPJ.0000000000001126.