Infliximab in the Treatment of Plaque Type Psoriasis
Overview
Affiliations
Psoriasis is a chronic and immunomediated skin disease characterized by erythematous scaly plaques. Psoriasis affects approximately 1% to 3% of the Caucasian population. Tumor necrosis factor alpha (TNF-α) is a proinflammatory cytokine that plays a critical role in the pathogenesis of psoriasis. Infliximab is an anti-TNF-α drug widely used for the treatment of plaque type psoriasis and psoriatic arthritis. Controlled clinical trials demonstrated that infliximab is characterized by a high degree of clinical response in moderate to severe plaque psoriasis. Moreover infliximab showed rapid efficacy in nail psoriasis which represents a therapeutic challenge for dermatologists and a relevant source of distress for patients with plaque psoriasis. This anti-TNF-α has an encouraging safety profile, especially as long as physicians are watchful in prevention and early diagnosis of infections and infuse reactions. The efficacy, tolerability and safety profiles suggest infliximab as a suitable anti-psoriatic drug in the long-term treatment of a chronic disease such as plaque-type psoriasis.
Psoriasis and inflammatory bowel disease: links and risks.
Vlachos C, Gaitanis G, Katsanos K, Christodoulou D, Tsianos E, Bassukas I Psoriasis (Auckl). 2018; 6:73-92.
PMID: 29387596 PMC: 5683131. DOI: 10.2147/PTT.S85194.
A dermatologist guide to immunogenicity.
Blattner C, Chaudhari S, Young 3rd J, Murase J Int J Womens Dermatol. 2017; 2(3):77-84.
PMID: 28492015 PMC: 5418886. DOI: 10.1016/j.ijwd.2016.05.001.
Vageli D, Exarchou A, Zafiriou E, Doukas P, Doukas S, Roussaki-Schulze A Exp Ther Med. 2015; 10(4):1573-1577.
PMID: 26622528 PMC: 4577938. DOI: 10.3892/etm.2015.2688.
Dramatic response of nail psoriasis to infliximab.
Safa G, Darrieux L Case Rep Med. 2011; 2011:107928.
PMID: 21629846 PMC: 3099188. DOI: 10.1155/2011/107928.