Pharmacological Treatment of Psoriasis

A special issue of Pharmaceuticals (ISSN 1424-8247). This special issue belongs to the section "Pharmacology".

Deadline for manuscript submissions: closed (20 December 2022) | Viewed by 5990

Special Issue Editor


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Guest Editor
Second Department of Dermatology and Venereal Diseases, Attikon University Hospital, Athens, Greece
Interests: Psoriasis; arthritis

Special Issue Information

Dear Colleagues,

Psoriasis is a chronic inflammatory disease that affects about 3% of the general population in Western countries, although wide variations in prevalence are being reported. It can present itself at any age with no clear gender predilection. Psoriasis exhibits primarily cutaneous manifestations; however, it is accompanied by a plethora of comorbidities, including metabolic syndrome, psoriatic arthritis, and cardiovascular disease, with a serious impact on patients’ quality of life. Over the past few decades, rapid progress has been achieved in the field of therapeutics with the introduction of new targeted biological treatments which, alongside conventional drugs, have expanded our therapeutic arsenal. Recently, IL23 inhibitors and JAK inhibitors have entered the field of psoriasis/psoriatic arthritis, along with TNFα, IL17, and IL12/23 antagonists and apremilast. Psoriasis, obesity, and metabolic syndrome constitute chronic inflammatory states that participate in a vicious circle and share a degree of synergy. These conditions can affect both conventional and biologic treatment responses in psoriasis patients, suggesting that these common inflammatory paths represent rational treatment targets. Moreover, early psoriasis treatment seems to have a beneficial effect on psoriatic arthritis. In the era of personalized medicine, there are still unmet needs that need to be addressed in order to achieve freedom from disease. Apart from achieving clear skin, individualized patient needs (such as treatment of difficult areas (e.g., genitals, nails), rapid response to therapy, and management of comorbidities and psychological burden) emphasize the importance of a multidisciplinary approach in psoriasis patients.

Dr. Evangelia Papadavid
Guest Editor

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Keywords

  • biologics
  • comorbidities
  • multidisciplinary approach
  • targeted treatment
  • personalized medicine

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Published Papers (1 paper)

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Review

23 pages, 989 KiB  
Review
A Review of the Safety of Interleukin-17A Inhibitor Secukinumab
by Vishnu Eshwar, Ashwin Kamath, Rajeshwari Shastry, Ashok K. Shenoy and Priyanka Kamath
Pharmaceuticals 2022, 15(11), 1365; https://doi.org/10.3390/ph15111365 - 7 Nov 2022
Cited by 16 | Viewed by 5609
Abstract
Secukinumab is an anti-interleukin (IL)-17A IgG1-κ monoclonal antibody approved for psoriasis, psoriatic arthritis, and ankylosing spondylitis. Its efficacy is well documented, but the complete safety profile of secukinumab, especially on long-term use, needs to be studied. IL-17 inhibitors increase the risk of infections, [...] Read more.
Secukinumab is an anti-interleukin (IL)-17A IgG1-κ monoclonal antibody approved for psoriasis, psoriatic arthritis, and ankylosing spondylitis. Its efficacy is well documented, but the complete safety profile of secukinumab, especially on long-term use, needs to be studied. IL-17 inhibitors increase the risk of infections, especially respiratory tract infections and candidiasis, and inflammatory bowel disease; the causal relationships are well described. However, evidence regarding the other adverse events is scarce, and causal associations between the adverse events and the biologic remain unresolved. This review aims to present a narrative perspective on the safety of secukinumab and identify some key areas where the safety of secukinumab may potentially be useful in understanding the scope of secukinumab therapy and making informed clinical decisions. Full article
(This article belongs to the Special Issue Pharmacological Treatment of Psoriasis)
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