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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9285349PMC
http://dx.doi.org/10.1111/dth.15332DOI Listing

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Article Synopsis
  • A two-year retrospective study involving 258 patients evaluated the long-term efficacy and safety of ixekizumab for treating difficult psoriasis.
  • At one year, significant improvements were noted, with 92% of patients reaching PASI 75 and sustained efficacy at two years.
  • Common side effects included local injection reactions and allergies, but there were no major concerns regarding latent infections or metabolic issues.
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Introduction: Guselkumab, a human monoclonal antibody targeting the p19 subunit of interleukin-23 (IL-23), has shown efficacy in psoriasis and psoriatic arthritis. However, long-term real-world data on its effectiveness in patients with inadequate response to ustekinumab are limited. This study investigates guselkumab's long-term effectiveness and safety in patients with psoriasis with partial response to ustekinumab.

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Article Synopsis
  • The study examined the effectiveness of ixekizumab (IXE) in treating moderate-to-severe psoriasis with special body area involvement (fingernails, scalp, palms) among Chinese patients.
  • A post-hoc analysis of a phase 3 trial showed that patients receiving IXE had significantly better improvements in psoriasis symptoms compared to those on placebo, especially noted in scores for nail and scalp severity.
  • By Week 60, patients treated with IXE maintained significant improvement in symptom severity, demonstrating ixekizumab's rapid and sustained action against psoriasis.
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Article Synopsis
  • * Data from a 5-year trial (UNCOVER-3) shows that most patients, regardless of whether they had initial issues in these challenging areas, achieved similar levels of clear skin and overall improvement.
  • * A notable finding is that patients without nail involvement had a significant advantage in overall percentage improvement, but overall efficacy was largely comparable across both groups.
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: Psoriasis is an immune-mediated chronic disorder associated with various comorbidities. Even though biologics and small-molecule inhibitors are the mainstay treatment for moderate-to-severe psoriasis, there is no current consensus regarding which agent should be used for a specific type of patient. This paper aims to test the reliability of blood-count-derived inflammatory markers in assessing treatment response to biologics and small-molecule inhibitors in psoriasis.

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