Successful Use of Bimekizumab in Refractory Acute Generalised Exanthematous Pustulosis Triggered by Amoxicillin‐Clavulanate

ABSTRACT Acute generalised exanthematous pustulosis (AGEP) is a rare, acute neutrophilic dermatosis most commonly triggered by drugs, which typically resolves within 2 weeks following withdrawal of the causative agent. Topical and systemic corticosteroids remain the standard treatment. However, some cases follow a prolonged or treatment‐refractory course. In such instances, the absence of validated alternative therapeutic strategies can complicate clinical management. Emerging evidence suggests the involvement of interleukin (IL)‐17 in pathogenesis, highlighting its role as a key cytokine in neutrophilic inflammation. We report a case of AGEP induced by amoxicillin‐clavulanate, exhibiting a severe and corticosteroid‐resistant progression, successfully treated with off‐label bimekizumab, a monoclonal antibody targeting both IL‐17A and IL‐17F.

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Publication Details

Journal
JEADV Clinical Practice
Published
2025-12-18
DOI
https://doi.org/10.1002/jvc2.70259
Primary Topic
Drug-Induced Adverse Reactions
Type
article
Field-Weighted Citation Impact
0.00

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article

Successful Use of Bimekizumab in Refractory Acute Generalised Exanthematous Pustulosis Triggered by Amoxicillin‐Clavulanate

JEADV Clinical Practice
Drug-Induced Adverse Reactions
article

Successful Use of Bimekizumab in Refractory Acute Generalised Exanthematous Pustulosis Triggered by Amoxicillin‐Clavulanate

article en

Abstract

ABSTRACT Acute generalised exanthematous pustulosis (AGEP) is a rare, acute neutrophilic dermatosis most commonly triggered by drugs, which typically resolves within 2 weeks following withdrawal of the causative agent. Topical and systemic corticosteroids remain the standard treatment. However, some cases follow a prolonged or treatment‐refractory course. In such instances, the absence of validated alternative therapeutic strategies can complicate clinical management. Emerging evidence suggests the involvement of interleukin (IL)‐17 in pathogenesis, highlighting its role as a key cytokine in neutrophilic inflammation. We report a case of AGEP induced by amoxicillin‐clavulanate, exhibiting a severe and corticosteroid‐resistant progression, successfully treated with off‐label bimekizumab, a monoclonal antibody targeting both IL‐17A and IL‐17F.

JEADV Clinical Practice
University of Lucerne (CH), University Hospital of Bern (CH)
Amgen, Bristol-Myers Squibb, Eli Lilly and Company, Pfizer, Sanofi, Celgene, Inselspital, Universitätsspital Bern, Galderma, LEO Pharma
Good health and well-being
Openalex Percentile: Top 32%
Drug-Induced Adverse Reactions
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