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      Successful treatment of disseminated granuloma annulare with adalimumab.

      Journal of drugs in dermatology : JDD
      Anti-Inflammatory Agents, therapeutic use, Antibodies, Monoclonal, Antibodies, Monoclonal, Humanized, Biopsy, Female, Granuloma Annulare, drug therapy, immunology, pathology, Histiocytes, ultrastructure, Humans, Middle Aged, Treatment Outcome, Tumor Necrosis Factor-alpha, antagonists & inhibitors

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          Abstract

          A 61-year-old female with a 4-year history of disseminated granuloma annulare was successfully treated with the antitumor necrosis factor (TNF)-alpha antibody, adalimumab. The patient had failed high potency topical glucocorticoids, hydroxychloroquine, and narrow-band ultraviolet light (UV)-B phototherapy. Anti-TNF-alpha therapy may be a therapeutic option in patients with disseminated granuloma annulare poorly controlled with conventional medications.

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