Suppr超能文献

病例报告:司库奇尤单抗治疗遗传性血色素沉着症患者的重度银屑病

Case Report: Secukinumab for the treatment of severe psoriasis in a patient with hereditary hemochromatosis.

作者信息

Yu Yingzhe, Lu Lingyi, Fan Xin, Wang Sihan, Lin Bingjiang

机构信息

The First Affiliated Hospital of Ningbo University, Ningbo, China.

出版信息

Front Med (Lausanne). 2025 Aug 8;12:1594640. doi: 10.3389/fmed.2025.1594640. eCollection 2025.

Abstract

There are several comorbidities associated with psoriasis, including genetic disorders such as hereditary hemochromatosis, which can lead to organ damage secondary to iron overload. Herein, we report the case of a 38-year-old Chinese man with hereditary hemochromatosis who received secukinumab for the treatment of severe psoriasis. Follow-up after 3 months showed that the patient's lesions had almost resolved and remained well-controlled for 2 years without any reported side effects. Patients with psoriasis and hereditary hemochromatosis have limited treatment options due to the effects of iron overload on the liver, particularly because it may increase the risk of hepatocellular carcinoma. Interleukin-17A (IL-17A) inhibitors, such as the secukinumab used in this case, may benefit these patients.

摘要

银屑病与多种合并症相关,包括遗传性血色素沉着症等遗传疾病,后者可导致铁过载继发器官损害。在此,我们报告一例38岁患有遗传性血色素沉着症的中国男性患者,其接受司库奇尤单抗治疗重度银屑病。3个月后的随访显示,患者皮损几乎消退,且在2年时间里病情得到良好控制,未报告任何副作用。由于铁过载对肝脏的影响,银屑病合并遗传性血色素沉着症的患者治疗选择有限,尤其是因为这可能增加肝细胞癌的风险。白细胞介素-17A(IL-17A)抑制剂,如本病例中使用的司库奇尤单抗,可能使这些患者受益。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/12ce/12370450/759553a66289/fmed-12-1594640-g001.jpg

相似文献

1
Case Report: Secukinumab for the treatment of severe psoriasis in a patient with hereditary hemochromatosis.
Front Med (Lausanne). 2025 Aug 8;12:1594640. doi: 10.3389/fmed.2025.1594640. eCollection 2025.
3
Systemic pharmacological treatments for chronic plaque psoriasis: a network meta-analysis.
Cochrane Database Syst Rev. 2021 Apr 19;4(4):CD011535. doi: 10.1002/14651858.CD011535.pub4.
4
Systemic pharmacological treatments for chronic plaque psoriasis: a network meta-analysis.
Cochrane Database Syst Rev. 2020 Jan 9;1(1):CD011535. doi: 10.1002/14651858.CD011535.pub3.
5
Systemic pharmacological treatments for chronic plaque psoriasis: a network meta-analysis.
Cochrane Database Syst Rev. 2017 Dec 22;12(12):CD011535. doi: 10.1002/14651858.CD011535.pub2.
7
Systemic pharmacological treatments for chronic plaque psoriasis: a network meta-analysis.
Cochrane Database Syst Rev. 2022 May 23;5(5):CD011535. doi: 10.1002/14651858.CD011535.pub5.
8
Systemic pharmacological treatments for chronic plaque psoriasis: a network meta-analysis.
Cochrane Database Syst Rev. 2025 Aug 6;8(8):CD011535. doi: 10.1002/14651858.CD011535.pub7.
9
Interventions for hereditary haemochromatosis: an attempted network meta-analysis.
Cochrane Database Syst Rev. 2017 Mar 8;3(3):CD011647. doi: 10.1002/14651858.CD011647.pub2.

本文引用的文献

1
Signaling pathways and targeted therapies for psoriasis.
Signal Transduct Target Ther. 2023 Nov 27;8(1):437. doi: 10.1038/s41392-023-01655-6.
3
Dermatologic manifestations in patients with the Hermansky-Pudlak syndrome types 1 and 3.
Orphanet J Rare Dis. 2022 Jul 30;17(1):305. doi: 10.1186/s13023-022-02464-w.
4
Correlation of genotype and phenotype in 32 patients with hereditary hemochromatosis in China.
Orphanet J Rare Dis. 2021 Sep 28;16(1):398. doi: 10.1186/s13023-021-02020-y.
5
Psoriasis.
Lancet. 2021 Apr 3;397(10281):1301-1315. doi: 10.1016/S0140-6736(20)32549-6.
6
Genetic diagnosis history and osteoarticular phenotype of a non-transfusion secondary hemochromatosis.
World J Clin Cases. 2020 Dec 6;8(23):5962-5975. doi: 10.12998/wjcc.v8.i23.5962.
7
IL-17 signaling in steatotic hepatocytes and macrophages promotes hepatocellular carcinoma in alcohol-related liver disease.
J Hepatol. 2020 May;72(5):946-959. doi: 10.1016/j.jhep.2019.12.016. Epub 2019 Dec 31.
8
IL-17A inhibits autophagic activity of HCC cells by inhibiting the degradation of Bcl2.
Biochem Biophys Res Commun. 2019 Jan 29;509(1):194-200. doi: 10.1016/j.bbrc.2018.12.103. Epub 2018 Dec 19.
9
Secukinumab efficacy in the treatment of nail psoriasis: a case series.
J Dermatolog Treat. 2018;29(sup1):21-24. doi: 10.1080/09546634.2018.1529381.
10
Pathophysiological consequences and benefits of mutations: 20 years of research.
Haematologica. 2017 May;102(5):809-817. doi: 10.3324/haematol.2016.160432. Epub 2017 Mar 9.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验