Psoriasiform and Eczematous Paradoxical Reactions to Biologic Agents

Authors

  • Asfandyar Mufti, MD, FRCPC Division of Dermatology, Sunnybrook Health Sciences Centre, University of Toronto

Abstract

Biologics, a class of therapeutic monoclonal antibodies (mABs), have formed the cornerstone for treatment of many systemic diseases and conditions in the fields of rheumatology and dermatology. These agents have demonstrated strong efficacy profiles in clinical trials, with numerous new agents being approved in the past few years. However, it is important to note that some patients being treated with biologics may experience paradoxical reactions (PRs), which refers to the new occurrence or worsening of pre-existing immune-mediated conditions following initiation of the drug. True paradoxical reactions involve the development of immune-mediated diseases with the use of biologic agents that are typically utilized to treat the idiopathic form of the drug-induced reaction. This article aims to summarize the literature on psoriasiform and eczematous PRs to biologics.

Author Biography

Asfandyar Mufti, MD, FRCPC, Division of Dermatology, Sunnybrook Health Sciences Centre, University of Toronto

Dr. Asfandyar Mufti attended medical school at the University of Ottawa graduating in 2017. He then completed his dermatology residency at the University of Toronto in 2022. During his residency, he also completed the Master of Science in Community Health (Health Practitioner Teacher Education) at the University of Toronto. He was awarded the Women’s College Hospital F.M. Hill Resident Mentorship Award, PARO Trust Fund Resident Teacher Award for the University of Toronto, and the Canadian Dermatology Association Resident Teacher Award in his final year of residency. His clinical and research interests include medical dermatology, therapeutics, wound care, immunobullous disorders and cutaneous lymphomas. He has published numerous peer-reviewed manuscripts and has a mixed academic-community practice, working at Sunnybrook Health Sciences Centre and medical dermatology clinics in the GTA.

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Published

2023-09-29

How to Cite

1.
Mufti A. Psoriasiform and Eczematous Paradoxical Reactions to Biologic Agents. Can Dermatol Today [Internet]. 2023 Sep. 29 [cited 2024 May 20];4(3):12–20. Available from: https://canadiandermatologytoday.com/article/view/4-3-mufti

Issue

Volume 4, Issue 3, September 2023

Section

Articles