PT  - JOURNAL ARTICLE
AU  - Marta Marin
AU  - Natalia Alzueta
AU  - María Pío
AU  - Ana Gascón
AU  - Marta Castresana
TI  - Ulcerative colitis induced by ixekizumab: a case report
AID  - 10.1136/ejhpharm-2019-002016
DP  - 2021 Jan 01
TA  - European Journal of Hospital Pharmacy
PG  - 50--52
VI  - 28
IP  - 1
4099  - http://ejhp.bmj.com/content/28/1/50.short
4100  - http://ejhp.bmj.com/content/28/1/50.full
SO  - Eur J Hosp Pharm2021 Jan 01; 28
AB  - A possible case of ulcerative colitis (UC) developed during treatment with ixekizumab is reported. Ixekizumab is a human monoclonal antibody approved for chronic plaque psoriasis that works by blocking interleukin-17 (IL-17). Cytoquines, such as IL-17, may be involved in the pathophysiology of psoriasis and inflammatory bowel diseases. We describe the case of a 76-year-old woman who presented with an episode of acute self-limited colitis after receiving ten doses of ixekizumab. It was resolved after treatment withdrawal. A re-challenge was done after 3 months and symptoms returned. Colonoscopy results confirmed the diagnosis of UC. Symptoms remitted after drug discontinuation and treatment with corticosteroids. Four months after stopping ixekizumab, she remains asymptomatic and she is being treated with guselkumab with adequate response. The Naranjo algorithm revealed a probable causal relationship.This adverse event should be taken into account by physicians and pharmacists before prescribing or reviewing therapies in order to improve patients’ safety.