Psoriasis comorbidities: complications and benefits of immunobiological treatment*

During the last decade, different studies have converged to evidence the high prevalence of comorbidities in subjects with psoriasis. Although a causal relation has not been fully elucidated, genetic relation, inflammatory pathways and/or common environmental factors appear to be underlying the deve...

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Main Authors: de Carvalho, André Vicente Esteves, Romiti, Ricardo, Souza, Cacilda da Silva, Paschoal, Renato Soriani, Milman, Laura de Mattos, Meneghello, Luana Pizarro
Format: Online
Language:English
Published: Sociedade Brasileira de Dermatologia 2016
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5193190/
id pubmed-5193190
recordtype oai_dc
spelling pubmed-51931902016-12-29 Psoriasis comorbidities: complications and benefits of immunobiological treatment* de Carvalho, André Vicente Esteves Romiti, Ricardo Souza, Cacilda da Silva Paschoal, Renato Soriani Milman, Laura de Mattos Meneghello, Luana Pizarro Review During the last decade, different studies have converged to evidence the high prevalence of comorbidities in subjects with psoriasis. Although a causal relation has not been fully elucidated, genetic relation, inflammatory pathways and/or common environmental factors appear to be underlying the development of psoriasis and the metabolic comorbidities. The concept of psoriasis as a systemic disease directed the attention of the scientific community in order to investigate the extent to which therapeutic interventions influence the onset and evolution of the most prevalent comorbidities in patients with psoriasis. This study presents scientific evidence of the influence of immunobiological treatments for psoriasis available in Brazil (infliximab, adalimumab, etanercept and ustekinumab) on the main comorbidities related to psoriasis. It highlights the importance of the inflammatory burden on the clinical outcome of patients, not only on disease activity, but also on the comorbidities. In this sense, systemic treatments, whether immunobiologicals or classic, can play a critical role to effectively control the inflammatory burden in psoriatic patients. Sociedade Brasileira de Dermatologia 2016 /pmc/articles/PMC5193190/ /pubmed/28099601 http://dx.doi.org/10.1590/abd1806-4841.20165080 Text en http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
repository_type Open Access Journal
institution_category Foreign Institution
institution US National Center for Biotechnology Information
building NCBI PubMed
collection Online Access
language English
format Online
author de Carvalho, André Vicente Esteves
Romiti, Ricardo
Souza, Cacilda da Silva
Paschoal, Renato Soriani
Milman, Laura de Mattos
Meneghello, Luana Pizarro
spellingShingle de Carvalho, André Vicente Esteves
Romiti, Ricardo
Souza, Cacilda da Silva
Paschoal, Renato Soriani
Milman, Laura de Mattos
Meneghello, Luana Pizarro
Psoriasis comorbidities: complications and benefits of immunobiological treatment*
author_facet de Carvalho, André Vicente Esteves
Romiti, Ricardo
Souza, Cacilda da Silva
Paschoal, Renato Soriani
Milman, Laura de Mattos
Meneghello, Luana Pizarro
author_sort de Carvalho, André Vicente Esteves
title Psoriasis comorbidities: complications and benefits of immunobiological treatment*
title_short Psoriasis comorbidities: complications and benefits of immunobiological treatment*
title_full Psoriasis comorbidities: complications and benefits of immunobiological treatment*
title_fullStr Psoriasis comorbidities: complications and benefits of immunobiological treatment*
title_full_unstemmed Psoriasis comorbidities: complications and benefits of immunobiological treatment*
title_sort psoriasis comorbidities: complications and benefits of immunobiological treatment*
description During the last decade, different studies have converged to evidence the high prevalence of comorbidities in subjects with psoriasis. Although a causal relation has not been fully elucidated, genetic relation, inflammatory pathways and/or common environmental factors appear to be underlying the development of psoriasis and the metabolic comorbidities. The concept of psoriasis as a systemic disease directed the attention of the scientific community in order to investigate the extent to which therapeutic interventions influence the onset and evolution of the most prevalent comorbidities in patients with psoriasis. This study presents scientific evidence of the influence of immunobiological treatments for psoriasis available in Brazil (infliximab, adalimumab, etanercept and ustekinumab) on the main comorbidities related to psoriasis. It highlights the importance of the inflammatory burden on the clinical outcome of patients, not only on disease activity, but also on the comorbidities. In this sense, systemic treatments, whether immunobiologicals or classic, can play a critical role to effectively control the inflammatory burden in psoriatic patients.
publisher Sociedade Brasileira de Dermatologia
publishDate 2016
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5193190/
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