Beware of phytotherapies in dermatomyositis

American clinicians have studied the prevalence and risk-taking among patients suffering from cutaneous autoimmune diseases who use herbal treatments:

These included dermatomyositis and systemic lupus erythematosus (SLE),

  • 673 adult patients consulting the University of Pennsylvania between 2007 and 2024 were included in a retrospective study,
  • a third of the patients, particularly younger patients and Hispanics, had used this type of complementary medicine,
  • adverse effects, in the form of exacerbation of their underlying disease, were noted in a third of dermatomyositis patients.

The authors blame elderberry and its derivatives in particular.

 

Prevalence and Risk of Immunostimulatory Herbal Supplement Treatment Among Autoimmune Dermatology Patients. Faden DF, Stone CJ, Xie L et al. ACR Open Rheumatol. 2024 Sep