Drug management of neutrophilic dermatoses

Simone Garcovich, Clara De Simone, Emilio Berti, Angelo Valerio Marzano

Risultato della ricerca: Contributo in rivistaArticolo in rivista

8 Citazioni (Scopus)

Abstract

Introduction: Neutrophilic dermatoses are a heterogenous group of chronic, cutaneous inflammatory conditions characterized by the accumulation of neutrophils in the skin and by systemic inflammation. Neutrophilic dermatoses can be idiopathic or associated with other inflammatory or systemic diseases, including the group of the hereditary, autoinflammatory syndromes. Clinical management is challenging, due to limited clinical evidence and lack of clinical practice guidelines. Areas covered: This review provides an overview of current therapeutic management of the three prototypical neutrophilic dermatoses, aseptic pustulosis of the folds, Sweet syndrome and pyoderma gangrenosum. In addition, we describe innovative, pathogenesis-oriented treatment approaches, which are based on recent advances in the pathophysiology of neutrophilic dermatoses and autoinflammatory syndromes. The increasing role of the IL-1 cytokine family in initiating neutrophilic inflammation in both idiopathic and syndromic disease opened the way for the use of targeted biological treatment. Another promising treatment strategy is aimed at blocking downstream effector cytokines, such as IL12/23 and IL-17, involved in the autoinflammatory immune cascade. Expert commentary: In chronic-recurrent and syndromic cases of neutrophilic dermatoses, there is an unmet clinical need for long-term, continuous disease control. Future controlled clinical studies will optimize the use of targeted-biological agents in sequential or combination treatment strategies.
Lingua originaleEnglish
pagine (da-a)1119-1128
Numero di pagine10
RivistaExpert Review of Clinical Pharmacology
Volume10
DOI
Stato di pubblicazionePubblicato - 2017

Keywords

  • Biological Products
  • Humans
  • IL-1
  • IL-17
  • Inflammation
  • Interleukins
  • Molecular Targeted Therapy
  • Neutrophils
  • PAPA syndrome
  • Pharmacology (medical)
  • Pharmacology, Toxicology and Pharmaceutics (all)
  • Pyoderma Gangrenosum
  • Pyoderma gangrenosum
  • Skin Diseases
  • Sweet Syndrome
  • Sweet syndrome
  • TNF-alpha
  • autoinflammation
  • neutrophil
  • neutrophilic dermatosis
  • subcorneal pustular dermatoses
  • therapeutics

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