Yu Yingzhe, Lu Lingyi, Fan Xin, Wang Sihan, Lin Bingjiang
The First Affiliated Hospital of Ningbo University, Ningbo, China.
Front Med (Lausanne). 2025 Aug 8;12:1594640. doi: 10.3389/fmed.2025.1594640. eCollection 2025.
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.
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。