Modern Approaches to Psoriasis: Current Treatments and Future Possibilities

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Dermatology".

Deadline for manuscript submissions: 15 June 2024 | Viewed by 861

Special Issue Editors


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Guest Editor
Section of Dermatology, Department of Clinical Medicine and Surgery, University of Naples Federico II, Via Pansini 5, Napoli, Italy
Interests: dermatology; psoriasis; psoriatric arthritis; biologic drugs

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Guest Editor
Section of Dermatology, Department of Clinical Medicine and Surgery, University of Naples Federico II, 80131 Napoly, Italy
Interests: inflammatory skin diseases; psoriasis; hidradenitis; atopic dermatitis; acne and rosacea; infective diseases; ontological diseases in dermatology (including melanoma and nonmelanoma skin cancers); teledermatology
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Special Issue Information

Dear Colleagues,

Psoriasis is a chronic inflammatory disease that affects about 2-4% of the global population. This systemic disease has a significant negative impact on the quality of life of affected patients. Research on psoriasis has largely increased knowledge about possible selective therapeutic targets. Indeed, advances in the understanding of the pathogenesis of psoriasis has resulted in increasingly targeted and highly effective therapies (including small molecules, as well as different classes of biologic drugs). At present, more than 10 different biologics drugs and 2 small molecules are available for psoriasis treatment. In this context, the dermatologist should choose the right treatment for the right patient at the right time while analyzing numerous different factors, such as comorbidities, the patient’s preferences, drugs peculiarities, etc. In this Special Issue, we invite the authors to present articles on modern approaches to psoriasis, with specific attention paid to real-life treatments as well as future possibilities.

Dr. Teresa Battista
Dr. Matteo Megna
Guest Editors

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Keywords

  • psoriasis
  • psoriatic arthritis
  • biologics
  • small molecules
  • comorbidities

Published Papers (1 paper)

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Research

16 pages, 290 KiB  
Article
Biological Therapy for Psoriasis in Cancer Patients: An 8-Year Retrospective Real-Life Study
by Teresa Battista, Lucia Gallo, Fabrizio Martora, Davide Fattore, Luca Potestio, Sara Cacciapuoti, Massimiliano Scalvenzi and Matteo Megna
J. Clin. Med. 2024, 13(7), 1940; https://doi.org/10.3390/jcm13071940 - 27 Mar 2024
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Abstract
Background: It is now recognized that psoriasis plays a key role in the development of several comorbidities, such as cardiovascular disease, and metabolic syndrome. Some authors have hypothesized that patients with psoriasis may have an increased risk of developing certain types of [...] Read more.
Background: It is now recognized that psoriasis plays a key role in the development of several comorbidities, such as cardiovascular disease, and metabolic syndrome. Some authors have hypothesized that patients with psoriasis may have an increased risk of developing certain types of cancer. The efficacy and safety of biologic drugs are well-documented in clinical trials and in real-life studies. However, there is limited evidence on the safety of the use of biologic treatments in cancer patients with psoriasis, and the use of this therapeutic class in patients with a pre-existing or concomitant malignancy is still debated. Methods: We have conducted a retrospective observational study of a group of oncology patients with moderate-to-severe psoriasis treated with biologic therapy at the Dermatology Clinic of the University of Naples Federico II, during the period from 2016 to 2024. We included 20 adult patients; in 15 of them the diagnosis of neoplasm preceded the start of treatment biologic, while four of these patients had been diagnosed with cancer during the course of therapy biologics. Results: The most represented neoplasms in our population were breast carcinoma, prostate carcinoma, thyroid carcinoma, and chronic lymphatic leukemia. Anti-IL17 drugs were the most frequently prescribed (47.7%), followed by anti-IL23p19 (36.8%), anti-IL-12/23 (10.5%) and anti-TNF alpha (5.26%). All patients showed improvement of psoriasis after starting the therapy. Conclusions: Our experience supports the effectiveness and safety of biological therapy for psoriasis in patients with a history of cancer or recent onset neoplasia. Full article
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