Guerra Prisca, Rosi Elia, Scandagli Ilaria, Silvi Gianmarco, Nunziati Giulia, Di Cesare Antonella, Prignano Francesca
Section of Dermatology, Department of Health Sciences, University of Florence, Florence, Italy.
Section of Dermatology, Department of Health Sciences, University of Florence, Florence, Italy.
Cytokine. 2023 Nov;171:156353. doi: 10.1016/j.cyto.2023.156353. Epub 2023 Sep 5.
Generalised pustular psoriasis (GPP) and acrodermatitis continua of Hallopeau (ACH) are two rare entities included in the spectrum of pustular psoriasis (PP). Due to the lack of randomised controlled clinical trials and standardized guidelines, their treatment remains a challenge for clinicians. Thus, herein we report our centre experience with the successful use of interleukin (IL)-17 inhibitors in three patients affected by PP. We also provide a brief overview of the current knowledge concerning the role of IL-17 in PP pathogenesis and of the use of IL-17 inhibitors in the treatment of PP. Based on our experience, anti-IL-17 molecules may represent a valuable therapeutical option for patients affected by different PP subtypes.
泛发性脓疱型银屑病(GPP)和Hallopeau连续性肢端皮炎(ACH)是脓疱型银屑病(PP)谱系中的两种罕见类型。由于缺乏随机对照临床试验和标准化指南,其治疗对临床医生来说仍然是一项挑战。因此,在此我们报告我们中心成功使用白细胞介素(IL)-17抑制剂治疗3例PP患者的经验。我们还简要概述了目前关于IL-17在PP发病机制中的作用以及IL-17抑制剂在PP治疗中的应用的知识。基于我们的经验,抗IL-17分子可能是不同PP亚型患者的一种有价值的治疗选择。