Article: Etanercept and recalcitrant acrodermatitis continua of Hallopeau.(LETTERS TO THE EDITOR)(Letter to the editor)

Dear Editor,

We read with interest the recent article on etanercept and recalcitrant acrodermatitis continua of Hallopeau (ACH). (1) ACH is considered to be a particular form of palmoplantar pustular psoriasis, and is notoriously difficult to treat. Treatment options include systemic therapies such as acitretine, (2) dapsone, (2) PUVA, (2) methotrexate, (3) propylthiouracil, (3) minocyclin, (2) cyclosporin-A, (2) tetracyclines, (5) as well as topical treatments including corticosteroids, tars, calcipotriol, and tacrolimus. (4) Despite the variety of therapeutic options, there is no treatment that is invariably successful. Recently, etanercept, an anti-TNF-[alpha] ...

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