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A case of resistant pityriasis ribra pilaris responsive to combination acitrentin and ustekinumab.

Abstract
Pityriasis rubra pilaris is a rare psoriasiform dermatitis. Treatment has been adopted from psoriasis protocols, with topical corticosteroids and systemic retinoids as first-line agents, followed by escalation to biologics for recalcitrant disease. We report a patient with resistant pityriasis rubra pilaris who dramatically improved with acitretin and ustekinumab, a combination not well documented in the literature. The purpose of this letter is to emphasize the potential benefit of dual therapy in patients who fail traditional pityriasis rubra pilaris treatment regimens.
AuthorsElizabeth Cook, Kendra Walker Tran, Sivaramya Kollipara, Michelle Tarbox, Russell Akin
JournalDermatology online journal (Dermatol Online J) Vol. 26 Issue 3 (Mar 15 2020) ISSN: 1087-2108 [Electronic] United States
PMID32609453 (Publication Type: Case Reports, Letter)
Chemical References
  • Dermatologic Agents
  • Keratolytic Agents
  • Ustekinumab
  • Acitretin
Topics
  • Acitretin (therapeutic use)
  • Aged, 80 and over
  • Dermatologic Agents (therapeutic use)
  • Drug Therapy, Combination
  • Humans
  • Keratolytic Agents (therapeutic use)
  • Male
  • Pityriasis Rubra Pilaris (drug therapy)
  • Ustekinumab (therapeutic use)

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