Anti-IL17 and anti-IL23 biologic drugs for genital psoriasis: a single-center retrospective comparative study

Genital psoriasis affects 33-63% patients with psoriasis during the course of disease, usually leading to a severe reduction of patient’s quality of life. This study aims to retrospectively asses the effectiveness of interleukin (IL)-23 and IL-17 inhibitors in a real-life population affected by mod...

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Main Authors: Andrea Cortese, Luigi Gargiulo, Luciano Ibba, Giovanni Fiorillo, Francesco Toso, Carlo Alberto Vignoli, Alessandra Narcisi, Antonio Costanzo, Mario Valenti
Format: Article
Language:English
Published: PAGEPress Publications 2023-05-01
Series:Dermatology Reports
Subjects:
Online Access:https://www.pagepress.org/journals/index.php/dr/article/view/9692
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author Andrea Cortese
Luigi Gargiulo
Luciano Ibba
Giovanni Fiorillo
Francesco Toso
Carlo Alberto Vignoli
Alessandra Narcisi
Antonio Costanzo
Mario Valenti
author_facet Andrea Cortese
Luigi Gargiulo
Luciano Ibba
Giovanni Fiorillo
Francesco Toso
Carlo Alberto Vignoli
Alessandra Narcisi
Antonio Costanzo
Mario Valenti
author_sort Andrea Cortese
collection DOAJ
description Genital psoriasis affects 33-63% patients with psoriasis during the course of disease, usually leading to a severe reduction of patient’s quality of life. This study aims to retrospectively asses the effectiveness of interleukin (IL)-23 and IL-17 inhibitors in a real-life population affected by moderate-to-severe plaque psoriasis with genital involvement coming from our dermatology department. A total of 86 patients with diagnosis of moderate-to-severe plaque psoriasis with severe genital involvement were enrolled. Patient characteristics, Psoriasis Area and Severity Index (PASI), and Static Physician Global Assessment of Genitalia (sPGA-G) at each visit were recorded. During the treatment, the mean PASI decreased from 12,8 at 0,63 at week 52; PGA of 0/1 was reached by 97,40% at week 52 and by 100% of patients (37/37) at week 104. No significant differences between the IL-23 and IL-17 inhibitors were observed; indeed the bio-naive group of patients demonstrated superior response compared to the group of patient bio-experienced. Our findings confirmed that IL-23 and IL-17 inhibitors as a safe and effective therapeutic option for the treatment of genital psoriasis.
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spelling doaj.art-eea9109495514714a98505e8de9a444f2023-05-19T17:57:58ZengPAGEPress PublicationsDermatology Reports2036-73922036-74062023-05-0110.4081/dr.2023.9692 Anti-IL17 and anti-IL23 biologic drugs for genital psoriasis: a single-center retrospective comparative studyAndrea Cortese0Luigi Gargiulo1Luciano Ibba2Giovanni Fiorillo3Francesco Toso4Carlo Alberto Vignoli5Alessandra Narcisi6Antonio Costanzo7Mario Valenti8Department of Biomedical Sciences, Humanitas University, Pieve Emanuele; Dermatology Unit, IRCCS Humanitas Research Hospital, RozzanoDepartment of Biomedical Sciences, Humanitas University, Pieve Emanuele; Dermatology Unit, IRCCS Humanitas Research Hospital, RozzanoDepartment of Biomedical Sciences, Humanitas University, Pieve Emanuele; Dermatology Unit, IRCCS Humanitas Research Hospital, RozzanoDepartment of Biomedical Sciences, Humanitas University, Pieve Emanuele; Dermatology Unit, IRCCS Humanitas Research Hospital, RozzanoDepartment of Biomedical Sciences, Humanitas University, Pieve Emanuele; Dermatology Unit, IRCCS Humanitas Research Hospital, RozzanoDepartment of Biomedical Sciences, Humanitas University, Pieve Emanuele; Dermatology Unit, IRCCS Humanitas Research Hospital, RozzanoDermatology Unit, IRCCS Humanitas Research Hospital, RozzanoDepartment of Biomedical Sciences, Humanitas University, Pieve Emanuele; Dermatology Unit, IRCCS Humanitas Research Hospital, RozzanoDepartment of Biomedical Sciences, Humanitas University, Pieve Emanuele; Dermatology Unit, IRCCS Humanitas Research Hospital, Rozzano Genital psoriasis affects 33-63% patients with psoriasis during the course of disease, usually leading to a severe reduction of patient’s quality of life. This study aims to retrospectively asses the effectiveness of interleukin (IL)-23 and IL-17 inhibitors in a real-life population affected by moderate-to-severe plaque psoriasis with genital involvement coming from our dermatology department. A total of 86 patients with diagnosis of moderate-to-severe plaque psoriasis with severe genital involvement were enrolled. Patient characteristics, Psoriasis Area and Severity Index (PASI), and Static Physician Global Assessment of Genitalia (sPGA-G) at each visit were recorded. During the treatment, the mean PASI decreased from 12,8 at 0,63 at week 52; PGA of 0/1 was reached by 97,40% at week 52 and by 100% of patients (37/37) at week 104. No significant differences between the IL-23 and IL-17 inhibitors were observed; indeed the bio-naive group of patients demonstrated superior response compared to the group of patient bio-experienced. Our findings confirmed that IL-23 and IL-17 inhibitors as a safe and effective therapeutic option for the treatment of genital psoriasis. https://www.pagepress.org/journals/index.php/dr/article/view/9692biologicsgenital psoriasispsoriasis treatment
spellingShingle Andrea Cortese
Luigi Gargiulo
Luciano Ibba
Giovanni Fiorillo
Francesco Toso
Carlo Alberto Vignoli
Alessandra Narcisi
Antonio Costanzo
Mario Valenti
Anti-IL17 and anti-IL23 biologic drugs for genital psoriasis: a single-center retrospective comparative study
Dermatology Reports
biologics
genital psoriasis
psoriasis treatment
title Anti-IL17 and anti-IL23 biologic drugs for genital psoriasis: a single-center retrospective comparative study
title_full Anti-IL17 and anti-IL23 biologic drugs for genital psoriasis: a single-center retrospective comparative study
title_fullStr Anti-IL17 and anti-IL23 biologic drugs for genital psoriasis: a single-center retrospective comparative study
title_full_unstemmed Anti-IL17 and anti-IL23 biologic drugs for genital psoriasis: a single-center retrospective comparative study
title_short Anti-IL17 and anti-IL23 biologic drugs for genital psoriasis: a single-center retrospective comparative study
title_sort anti il17 and anti il23 biologic drugs for genital psoriasis a single center retrospective comparative study
topic biologics
genital psoriasis
psoriasis treatment
url https://www.pagepress.org/journals/index.php/dr/article/view/9692
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