Psoriasis Therapy and Skin Cancer: A Review

Introduction: psoriasis is a chronic immune-mediated disease that is associated with several comorbidities, including an increased risk of malignancies, particularly skin cancer. A large number of studies have investigated whether psoriasis itself, psoriasis-associated comorbidities, or psoriasis tr...

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Main Authors: Beatriz Butrón-Bris, Esteban Daudén, Pedro Rodríguez-Jiménez
Format: Article
Language:English
Published: MDPI AG 2021-10-01
Series:Life
Subjects:
Online Access:https://www.mdpi.com/2075-1729/11/10/1109
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author Beatriz Butrón-Bris
Esteban Daudén
Pedro Rodríguez-Jiménez
author_facet Beatriz Butrón-Bris
Esteban Daudén
Pedro Rodríguez-Jiménez
author_sort Beatriz Butrón-Bris
collection DOAJ
description Introduction: psoriasis is a chronic immune-mediated disease that is associated with several comorbidities, including an increased risk of malignancies, particularly skin cancer. A large number of studies have investigated whether psoriasis itself, psoriasis-associated comorbidities, or psoriasis treatment could lead to an increased risk of neoplasms. Methods: we reviewed the literature using the most important databases (PubMed, MEDLINE, ETHERIA). All articles pertaining to skin cancer associated with psoriasis disease and psoriasis therapy were included. In this review, we also discuss some of the potential underlying mechanisms for these associations, particularly regarding the multiple psoriasis therapies currently available, and their possible implications in higher incidences of skin cancer in these patients. Conclusion: evidence suggests that these patients might have a higher risk of cutaneous malignancies, especially for NMSC, compared with psoriasis-free patients. The reasons for this increased risk remain to be determined. However, high dose PUVA therapy, the immunosuppressive treatments used, and the comorbidities and habits frequently described in these patients seem to play a role in the pathogenesis of these tumors. Because of these facts, periodic screening for skin cancer is recommended in this population.
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spelling doaj.art-7fac45c8a506446b8ca568a772178c072023-11-22T18:53:44ZengMDPI AGLife2075-17292021-10-011110110910.3390/life11101109Psoriasis Therapy and Skin Cancer: A ReviewBeatriz Butrón-Bris0Esteban Daudén1Pedro Rodríguez-Jiménez2Dermatology Deparment, Hospital Universitario de la Princesa, 28007 Madrid, SpainDermatology Deparment, Hospital Universitario de la Princesa, 28007 Madrid, SpainDermatology Deparment, Hospital Universitario de la Princesa, 28007 Madrid, SpainIntroduction: psoriasis is a chronic immune-mediated disease that is associated with several comorbidities, including an increased risk of malignancies, particularly skin cancer. A large number of studies have investigated whether psoriasis itself, psoriasis-associated comorbidities, or psoriasis treatment could lead to an increased risk of neoplasms. Methods: we reviewed the literature using the most important databases (PubMed, MEDLINE, ETHERIA). All articles pertaining to skin cancer associated with psoriasis disease and psoriasis therapy were included. In this review, we also discuss some of the potential underlying mechanisms for these associations, particularly regarding the multiple psoriasis therapies currently available, and their possible implications in higher incidences of skin cancer in these patients. Conclusion: evidence suggests that these patients might have a higher risk of cutaneous malignancies, especially for NMSC, compared with psoriasis-free patients. The reasons for this increased risk remain to be determined. However, high dose PUVA therapy, the immunosuppressive treatments used, and the comorbidities and habits frequently described in these patients seem to play a role in the pathogenesis of these tumors. Because of these facts, periodic screening for skin cancer is recommended in this population.https://www.mdpi.com/2075-1729/11/10/1109psoriasisskin cancernon-melanoma skin cancermelanomaphototherapytreatment
spellingShingle Beatriz Butrón-Bris
Esteban Daudén
Pedro Rodríguez-Jiménez
Psoriasis Therapy and Skin Cancer: A Review
Life
psoriasis
skin cancer
non-melanoma skin cancer
melanoma
phototherapy
treatment
title Psoriasis Therapy and Skin Cancer: A Review
title_full Psoriasis Therapy and Skin Cancer: A Review
title_fullStr Psoriasis Therapy and Skin Cancer: A Review
title_full_unstemmed Psoriasis Therapy and Skin Cancer: A Review
title_short Psoriasis Therapy and Skin Cancer: A Review
title_sort psoriasis therapy and skin cancer a review
topic psoriasis
skin cancer
non-melanoma skin cancer
melanoma
phototherapy
treatment
url https://www.mdpi.com/2075-1729/11/10/1109
work_keys_str_mv AT beatrizbutronbris psoriasistherapyandskincancerareview
AT estebandauden psoriasistherapyandskincancerareview
AT pedrorodriguezjimenez psoriasistherapyandskincancerareview