Management of patients with psoriasis treated with biological drugs needing a surgical treatment

Clara De Simone, Antonella Fabiano, Paolo Gisondi, Stefano Piaserico, Claudia Lasagni, Giovanni Pellacani, Andrea Conti

Risultato della ricerca: Contributo in rivistaArticolo in rivista

14 Citazioni (Scopus)

Abstract

Tumor necrosis factor alpha (TNF-α) is a cytokine that plays a critical role in inflammatory and immune processes and in the control of infections and sepsis. Data on the perioperative management of patients treated with biologic drugs are limited and mainly in patients with rheumatoid arthritis (RA) and inflammatory bowel disease (IBD). This retrospective study assesses variations in the incidence of side effects between psoriatic patients who temporarily discontinue or continue biological therapy before surgical treatment. Despite the immunosuppressive risk, our results suggest that postoperative complications are not influenced by the suspension of biologic therapies. As TNF-α plays a role in promoting collagen synthesis and wound healing, we suggest that anti-TNFs should be discontinued before major surgery, whereas for minor surgery, the lower rates of infections favor anti-TNF-α continuation, particularly since suspending anti-TNF therapy is known to induce psoriasis relapse.
Lingua originaleEnglish
pagine (da-a)S24-S24-6
RivistaDRUG DEVELOPMENT RESEARCH
Volume75 Suppl 1
DOI
Stato di pubblicazionePubblicato - 2014

Keywords

  • Adalimumab
  • Aged
  • Antibodies, Monoclonal
  • Antibodies, Monoclonal, Humanized
  • Biological Products
  • Etanercept
  • Female
  • Humans
  • Immunoglobulin G
  • Incidence
  • Infliximab
  • Interleukin-12
  • Interleukin-23
  • Male
  • Middle Aged
  • Postoperative Complications
  • Psoriasis
  • Receptors, Tumor Necrosis Factor
  • Surgical Procedures, Operative
  • Tumor Necrosis Factor-alpha
  • Ustekinumab
  • Wound Healing
  • anti IL 12/23
  • anti TNF-α
  • infections
  • psoriasis
  • surgical complications

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