Erythrodermic psoriasis improved by tildrakzumab: a case report

Erythrodermic psoriasis (EP), clinically defined as prominent erythema and scaling affecting almost the entire skin surface, is a severe form and a rare variant of psoriasis. The treatment may require hospital admission with monitoring of vital signs and use of immunosuppressive drugs. Newer biolog...

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Main Authors: Giampaolo Trevisan, Lerica Germi, Luigi Naldi
Format: Article
Language:English
Published: PAGEPress Publications 2022-07-01
Series:Dermatology Reports
Subjects:
Online Access:https://www.pagepress.org/journals/index.php/dr/article/view/9448
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author Giampaolo Trevisan
Lerica Germi
Luigi Naldi
author_facet Giampaolo Trevisan
Lerica Germi
Luigi Naldi
author_sort Giampaolo Trevisan
collection DOAJ
description Erythrodermic psoriasis (EP), clinically defined as prominent erythema and scaling affecting almost the entire skin surface, is a severe form and a rare variant of psoriasis. The treatment may require hospital admission with monitoring of vital signs and use of immunosuppressive drugs. Newer biological drugs, including anti-TNF, anti-IL-17, and anti-IL-12/23 agents, even if not specifically developed for the treatment of erythrodermic psoriasis, have been used successfully in single cases or in small case series. Tildrakizumab is an IgG1ҡ monoclonal antibody that selectively binds to the p19 subunit thereby inhibits the interaction of interleukin 23 (IL-23) with its receptor and thus inhibits the release of IL-23 mediated proinflammatory cytokines. We present a case of EP in an obese man (Body mass index 35.2) successfully and safely treated with Tildrakizumab.
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spelling doaj.art-69b0f38cef30476f99feab6fca8e187b2022-12-22T03:39:05ZengPAGEPress PublicationsDermatology Reports2036-73922036-74062022-07-0110.4081/dr.2022.9448Erythrodermic psoriasis improved by tildrakzumab: a case reportGiampaolo Trevisan0Lerica Germi1Luigi Naldi2Department of Dermatology, San Bortolo Hospital, VicenzaDepartment of Dermatology, San Bortolo Hospital, VicenzaDepartment of Dermatology, San Bortolo Hospital, Vicenza Erythrodermic psoriasis (EP), clinically defined as prominent erythema and scaling affecting almost the entire skin surface, is a severe form and a rare variant of psoriasis. The treatment may require hospital admission with monitoring of vital signs and use of immunosuppressive drugs. Newer biological drugs, including anti-TNF, anti-IL-17, and anti-IL-12/23 agents, even if not specifically developed for the treatment of erythrodermic psoriasis, have been used successfully in single cases or in small case series. Tildrakizumab is an IgG1ҡ monoclonal antibody that selectively binds to the p19 subunit thereby inhibits the interaction of interleukin 23 (IL-23) with its receptor and thus inhibits the release of IL-23 mediated proinflammatory cytokines. We present a case of EP in an obese man (Body mass index 35.2) successfully and safely treated with Tildrakizumab. https://www.pagepress.org/journals/index.php/dr/article/view/9448erythrodermic psoriasistreatmenttildrakizumab
spellingShingle Giampaolo Trevisan
Lerica Germi
Luigi Naldi
Erythrodermic psoriasis improved by tildrakzumab: a case report
Dermatology Reports
erythrodermic psoriasis
treatment
tildrakizumab
title Erythrodermic psoriasis improved by tildrakzumab: a case report
title_full Erythrodermic psoriasis improved by tildrakzumab: a case report
title_fullStr Erythrodermic psoriasis improved by tildrakzumab: a case report
title_full_unstemmed Erythrodermic psoriasis improved by tildrakzumab: a case report
title_short Erythrodermic psoriasis improved by tildrakzumab: a case report
title_sort erythrodermic psoriasis improved by tildrakzumab a case report
topic erythrodermic psoriasis
treatment
tildrakizumab
url https://www.pagepress.org/journals/index.php/dr/article/view/9448
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AT luiginaldi erythrodermicpsoriasisimprovedbytildrakzumabacasereport