Psoríase na era dos biológicos.

Chronic plaque psoriasis is an immune-mediated, inflammatory skin disease with a heavy burden on quality of life of patients. Conventional systemic therapies, including cyclosporine, methotrexate, acitretin and photo(chemo)therapy, have proved to be effective, but the risk of toxicity prevents their...

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Main Authors: Tiago Torres, Glória Cunha Velho, Madalena Sanches, Manuela Selores
Format: Article
Language:English
Published: Ordem dos Médicos 2010-06-01
Series:Acta Médica Portuguesa
Online Access:https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/629
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author Tiago Torres
Glória Cunha Velho
Madalena Sanches
Manuela Selores
author_facet Tiago Torres
Glória Cunha Velho
Madalena Sanches
Manuela Selores
author_sort Tiago Torres
collection DOAJ
description Chronic plaque psoriasis is an immune-mediated, inflammatory skin disease with a heavy burden on quality of life of patients. Conventional systemic therapies, including cyclosporine, methotrexate, acitretin and photo(chemo)therapy, have proved to be effective, but the risk of toxicity prevents their prolonged and continuous use. Advances in the understanding of psoriasis immunopathogenesis have led to the development of drugs, designed to selectively interfere with the immune mechanisms that induce psoriasis, called biologics. These agents have proven to be a convenient, safe and effective alternative to conventional treatments, and have become an important part of the dermatologist therapeutic armamentarium. This review will focus on the mechanisms of action, guidelines for usage, efficacy data and safety concerns of the main biologics used in Europe for the treatment of moderate to severe plaque psoriasis: etanercept, infliximab, adalimumab. Although efalizumab's marketing authorization, approved since 2003, has been suspended recently (February 2009) across the European Union, it will also be briefly discussed.
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spelling doaj.art-0e4ca46ea3314853aa1ae491ef51f0042022-12-22T02:26:11ZengOrdem dos MédicosActa Médica Portuguesa0870-399X1646-07582010-06-0123310.20344/amp.629Psoríase na era dos biológicos.Tiago Torres0Glória Cunha VelhoMadalena SanchesManuela SeloresServiço de Dermatologia, Hospital de Santo António, Porto.Chronic plaque psoriasis is an immune-mediated, inflammatory skin disease with a heavy burden on quality of life of patients. Conventional systemic therapies, including cyclosporine, methotrexate, acitretin and photo(chemo)therapy, have proved to be effective, but the risk of toxicity prevents their prolonged and continuous use. Advances in the understanding of psoriasis immunopathogenesis have led to the development of drugs, designed to selectively interfere with the immune mechanisms that induce psoriasis, called biologics. These agents have proven to be a convenient, safe and effective alternative to conventional treatments, and have become an important part of the dermatologist therapeutic armamentarium. This review will focus on the mechanisms of action, guidelines for usage, efficacy data and safety concerns of the main biologics used in Europe for the treatment of moderate to severe plaque psoriasis: etanercept, infliximab, adalimumab. Although efalizumab's marketing authorization, approved since 2003, has been suspended recently (February 2009) across the European Union, it will also be briefly discussed.https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/629
spellingShingle Tiago Torres
Glória Cunha Velho
Madalena Sanches
Manuela Selores
Psoríase na era dos biológicos.
Acta Médica Portuguesa
title Psoríase na era dos biológicos.
title_full Psoríase na era dos biológicos.
title_fullStr Psoríase na era dos biológicos.
title_full_unstemmed Psoríase na era dos biológicos.
title_short Psoríase na era dos biológicos.
title_sort psoriase na era dos biologicos
url https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/629
work_keys_str_mv AT tiagotorres psoriasenaeradosbiologicos
AT gloriacunhavelho psoriasenaeradosbiologicos
AT madalenasanches psoriasenaeradosbiologicos
AT manuelaselores psoriasenaeradosbiologicos