* Current guidelines advise TB screening and preventive treatment prior to starting anti-TNF therapy, extending to other biologic therapies despite differing mechanisms of action.
* New evidence suggests that some emerging therapies might not significantly raise TB reactivation risk, prompting calls to revise existing recommendations to better reflect individual patient risks and drug safety.
- Dupilumab shows promise as a treatment for bullous pemphigoid (BP), allowing for the rapid identification of patients who respond to the therapy, which could reduce the need for additional immunosuppressive treatments.
- In a study of 12 BP patients, 67% had a complete response and a significant reduction in itch (pruritus) was noted as early as day 1, with a correlation to clinical improvement by day 14.
- The findings suggest that monitoring itch levels can be a useful early indicator of treatment response, potentially altering BP treatment protocols in the future to minimize reliance on more harmful therapies.
Pityriasis rubra pilaris (PRP) is a rare skin condition with unclear causes, but recent research identified IL-1β as a crucial factor in its development.
Treatment with IL-1 antagonists like anakinra and canakinumab led to significant improvements in patients, including reduced skin lesions within a few weeks.
The findings suggest that PRP could be redefined as an autoinflammatory keratinization disorder, highlighting the need for further clinical trials to test the effectiveness of targeting IL-1β in treatment.