Thalidomide

  • Inhibits TNFα but exact mechanism unknown
  • Treats: erythema nodosum leprosum, HIV associated mucosal ulceration, recalcitrant DLE or SCLE
  • SE: fetal anomalies (phocomelia), peripheral neuropathy (proximal muscle weakness, painful paresthesias of extremities), somnolence, TEN, hypersensitivity reaction, leukopenia