TY - JOUR KW - leprosy KW - Rheumatoid arthritis KW - Adverse effects KW - Brazil AU - Antônio JR AU - Soubhia RMC AU - Paschoal VDA AU - Amarante CF AU - Travolo ARF AB - Biological agents are widely used for various immune-mediated diseases, with remarkable effectiveness in the treatment of rheumatoid arthritis (RA), psoriasis, psoriatic arthritis, ankylosing spondylitis and Crohn's disease. However, attention needs to be drawn to the adverse effects of these therapies and the risk of reactivating underlying granulomatous infectious diseases such as tuberculosis, leprosy, syphilis, leishmaniasis, among others. The objective of this paper is to describe a case of leprosy in a patient with RA using anti-TNF alfa, demonstrating the need for systematic investigation of skin lesions suggestive of leprosy in patients who require rheumatoid arthritis therapeutic treatment, especially in endemic regions like Brazil. BT - Anais brasileiros de dermatologia C1 - http://www.ncbi.nlm.nih.gov/pubmed/24346871?dopt=Abstract CN - ANTONIO 2013 DA - 2013 Nov-Dec DO - 10.1590/abd1806-4841.20132187 IS - 6 Suppl 1 J2 - An Bras Dermatol LA - eng N2 - Biological agents are widely used for various immune-mediated diseases, with remarkable effectiveness in the treatment of rheumatoid arthritis (RA), psoriasis, psoriatic arthritis, ankylosing spondylitis and Crohn's disease. However, attention needs to be drawn to the adverse effects of these therapies and the risk of reactivating underlying granulomatous infectious diseases such as tuberculosis, leprosy, syphilis, leishmaniasis, among others. The objective of this paper is to describe a case of leprosy in a patient with RA using anti-TNF alfa, demonstrating the need for systematic investigation of skin lesions suggestive of leprosy in patients who require rheumatoid arthritis therapeutic treatment, especially in endemic regions like Brazil. PY - 2013 SP - 23 EP - 5 T2 - Anais brasileiros de dermatologia TI - Biological agents: investigation into leprosy and other infectious diseases before indication. TT - Agentes biológicos: pesquisa de hanseníase e outras doenças infecciosas antes da indicação UR - http://www.scielo.br/pdf/abd/v88n6s1/0365-0596-abd-88-06-s1-0023.pdf VL - 88 SN - 1806-4841 ER -