TY - JOUR KW - Leprosy KW - Erythema Nodosum Leprosum KW - Leprosy reaction KW - Biological Therapy AU - Gomide L AU - Brufatto J AU - Kucarz T AU - Velho P AU - França A AB -

Background

Erythema nodosum leprosum (ENL) is an immunological inflammatory reaction requiring precise management. Recalcitrant cases, their refractoriness to conventional therapy, and the adverse effects of standard treatments underline the need to explore alternative therapeutic options.

Methods

We conducted a retrospective study of five patients treated with secukinumab between January 2023 and January 2025.

Results

Patients showed clinical improvement with a reduced ENL frequency, neuritis relief, and corticosteroid sparing.

Conclusions

Secukinumab appears to be a promising corticosteroid-sparing option for ENL, with a favorable safety profile. Further studies are required to confirm the efficacy and long-term safety of this treatment regimen.

BT - Revista da Sociedade Brasileira de Medicina Tropical C1 - https://www.ncbi.nlm.nih.gov/pubmed/41036900 DA - 01/2025 DO - 10.1590/0037-8682-0118-2025 J2 - Rev Soc Bras Med Trop LA - eng M3 - Article N2 -

Background

Erythema nodosum leprosum (ENL) is an immunological inflammatory reaction requiring precise management. Recalcitrant cases, their refractoriness to conventional therapy, and the adverse effects of standard treatments underline the need to explore alternative therapeutic options.

Methods

We conducted a retrospective study of five patients treated with secukinumab between January 2023 and January 2025.

Results

Patients showed clinical improvement with a reduced ENL frequency, neuritis relief, and corticosteroid sparing.

Conclusions

Secukinumab appears to be a promising corticosteroid-sparing option for ENL, with a favorable safety profile. Further studies are required to confirm the efficacy and long-term safety of this treatment regimen.

PY - 2025 SP - 1 EP - 5 T2 - Revista da Sociedade Brasileira de Medicina Tropical TI - Managing leprosy reactions with secukinumab: Insights from a case series. UR - https://pmc.ncbi.nlm.nih.gov/articles/PMC12479038/pdf/1678-9849-rsbmt-58-e0118-2025.pdf VL - 58 SN - 1678-9849 ER -