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Sensory neuropathy induced by anti-TNF-alpha: Study of an observation

Par : Contributeur(s) : Type de matériel : TexteTexteLangue : français Détails de publication : 2025. Ressources en ligne : Abrégé : Anti-TNF-alpha treatments are increasingly widely prescribed. Multiple side effects have been reported in recent years, in particular peripheral neuropathy. We report a case of sensory neuropathy occurring six months after the start of treatment with infliximab. This was in a 43-year-old female patient, followed for APS since 2016, who required treatment with infliximab. Six months later, the patient presented a picture of sensory neuropathy. The etiological workup remained negative, and the discontinuation of infliximab was accompanied by an improvement in symptomatology. The delay between the initiation of infliximab-based treatment and the onset of clinical manifestations, as well as the improvement after dose reduction, argue for the responsibility of infliximab in the occurrence of the sensory neuropathy.
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Anti-TNF-alpha treatments are increasingly widely prescribed. Multiple side effects have been reported in recent years, in particular peripheral neuropathy. We report a case of sensory neuropathy occurring six months after the start of treatment with infliximab. This was in a 43-year-old female patient, followed for APS since 2016, who required treatment with infliximab. Six months later, the patient presented a picture of sensory neuropathy. The etiological workup remained negative, and the discontinuation of infliximab was accompanied by an improvement in symptomatology. The delay between the initiation of infliximab-based treatment and the onset of clinical manifestations, as well as the improvement after dose reduction, argue for the responsibility of infliximab in the occurrence of the sensory neuropathy.

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