Development of Systemic Lupus Erythematosus in aPatient With Rheumatoid Arthritis Following TreatmentConversion of Infl iximab to Adalimumab
August 2008 | Volume 7 | Issue 8 | Case Reports | 796 | Copyright © August 2008
Jamaiya Havel BA, Sina Aboutalebi MD, Lauren Doughty MD, Marla Wirges MD
Systemic lupus erythematosus (SLE)-like syndromes and the development of lupus-related autoantibodies are known to occur during
treatment with certain medications. Here a case of complete SLE conversion in a patient with rheumatoid arthritis following sequential
treatment with infl iximab and adalimumab is reported. Potential mechanisms for development of SLE with this treatment regimen
are discussed, as well as the need for further exploration into autoimmune phenomenon with the use of immunobiologic agents.