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Verdaguer-Faja J, Borrego L, Mercader-García P, González Pérez R, Córdoba-Guijarro S, Giménez-Arnau AM, Ruiz-González I, Miquel-Miquel J, Francisco Silvestre J, Ortiz de Frutos FJ, Tous-Romero F, Sanz Sánchez T, Rodríguez-Serna M, Sánchez-Pérez J, Serra Baldrich E, Zaragoza-Ninet V, Pastor-Nieto MA, Gatica-Ortega ME, Sánchez Gilo A, Melé-Ninot G, Sánchez-Pedreño Guillén P, Munera-Campos M, Descalzo MÁ, García-Doval I, Carrascosa JM. [[Translated article]]Epidemiological, Clinical, and Allergic Profile of Psoriatic Patients. Evaluation of the Spanish Registry of Contact Dermatitis and Cutaneous Allergy (REIDAC). Actas Dermosifiliogr 2024:S0001-7310(24)00353-3. [PMID: 38648935 DOI: 10.1016/j.ad.2024.04.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2023] [Accepted: 02/06/2024] [Indexed: 04/25/2024] Open
Abstract
BACKGROUND Psoriasis is a chronic inflammatory dermatosis whose clinical and topographic distribution requires differential diagnosis, or the possible association with allergic contact dermatitis (ACD), requiring patch testing (PT) as part of the diagnostic procedure. OBJECTIVES To describe the epidemiological, clinical, and allergic profile of patients with a primary or secondary diagnosis of psoriasis undergoing PT and compare them with patients with a diagnosis of ACD at the end of the diagnostic process. METHODS Cross-sectional study with data from REIDAC from 2018 through 2023 of selected patients with a diagnosis of psoriasis and/or ACD. RESULTS A total of 11 502 patients were included, 513 of whom had been diagnosed with primary or secondary psoriasis, 3640 with ACD, and 108 with both diseases. Men were more predominant in the groups of patients with psoriasis, psoriasis + ACD, and lesions were more predominantly seen in the hands with little association with atopic factors vs the ACD group. The rate of positivity in PT to the 2022 Spanish battery of allergens was lower in the group with psoriasis only in 27% of the patients. The most common allergens found in the psoriasis group were also the most common ones found in the overall ACD population. CONCLUSIONS Overall, 36.2% of psoriatic patients tested positive in PT to the 2022 Spanish battery of allergens, which proved that this association is not uncommon. Overall, psoriatic patients had a higher mean age, were more predominantly men, and showed more hand involvement.
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Affiliation(s)
- J Verdaguer-Faja
- Servicio de Dermatología del Hospital Universitari Germans Trias i Pujol, Spain.
| | - L Borrego
- Servicio de Dermatología del Complejo Hospitalario Universitario Insular. Universidad de Las Palmas de Gran Canaria, Spain
| | - P Mercader-García
- Servicio de Dermatología del Hospital General Universitario Morales Meseguer, Spain
| | - R González Pérez
- Hospital Universitario De Araba, Universidad del país vasco, Spain
| | | | - A M Giménez-Arnau
- Hospital del Mar. Research Institute. Universitat Pompeu Fabra, Spain
| | | | | | | | | | | | | | | | | | | | | | | | | | | | - Gemma Melé-Ninot
- Hospital Universitari Sagrat Cor, Grupo Quirónsalud, Barcelona, Spain
| | | | - M Munera-Campos
- Servicio de Dermatología del Hospital Universitari Germans Trias i Pujol, Spain
| | - M Á Descalzo
- Unidad de Investigación. Fundacion Piel Sana, Spain
| | | | - J M Carrascosa
- Servicio de Dermatología del Hospital Universitari Germans Trias i Pujol, Spain; Universitat Autònoma de Barcelona. UAB. IGTP, Spain
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Verdaguer-Faja J, Borrego L, Mercader-García P, González Pérez R, Córdoba-Guijarro S, Giménez-Arnau AM, Ruiz-González I, Miquel-Miquel J, Silvestre JF, Ortiz de Frutos FJ, Tous-Romero F, Sanz Sánchez T, Rodríguez-Serna M, Sánchez-Pérez J, Serra Baldrich E, Zaragoza-Ninet V, Pastor-Nieto MA, Gática-Ortega ME, Sánchez Gilo A, Melé-Ninot G, Sánchez-Pedreño Guillén P, Munera-Campos M, Descalzo MÁ, García-Doval I, Carrascosa JM. Epidemiological, Clinical, and Allergic Profile of Psoriatic Patients. Evaluation of the Spanish Registry of Contact Dermatitis and Cutaneous Allergy (REIDAC). Actas Dermosifiliogr 2024:S0001-7310(24)00150-9. [PMID: 38382750 DOI: 10.1016/j.ad.2024.02.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2023] [Revised: 12/18/2023] [Accepted: 02/06/2024] [Indexed: 02/23/2024] Open
Abstract
BACKGROUND Psoriasis is a chronic inflammatory dermatosis whose clinical and topographic distribution requires differential diagnosis, or the possible association with allergic contact dermatitis (ACD), requiring patch testing (PT) as part of the diagnostic procedure. OBJECTIVES To describe the epidemiological, clinical, and allergic profile of patients with a primary or secondary diagnosis of psoriasis undergoing PT and compare them with patients with a diagnosis of ACD at the end of the diagnostic process. METHODS Cross-sectional study with data from REIDAC from 2018 through 2023 of selected patients with a diagnosis of psoriasis and/or ACD. RESULTS A total of 11 502 patients were included, 513 of whom had been diagnosed with primary or secondary psoriasis, 3640 with ACD, and 108 with both diseases. Men were more predominant in the groups of patients with psoriasis, psoriasis+ACD, and lesions were more predominantly seen in the hands with little association with atopic factors vs the ACD group. The rate of positivity in PT to the 2022 Spanish battery of allergens was lower in the group with psoriasis only in 27% of the patients. The most common allergens found in the psoriasis group were also the most common ones found in the overall ACD population. CONCLUSIONS Overall, 36.2% of psoriatic patients tested positive in PT to the 2022 Spanish battery of allergens, which proved that this association is not uncommon. Overall, psoriatic patients had a higher mean age, were more predominantly men, and showed more hand involvement.
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Affiliation(s)
- J Verdaguer-Faja
- Servicio de Dermatología, Hospital Universitari Germans Trias i Pujol, Badalona, España.
| | - L Borrego
- Servicio de Dermatología, Complejo Hospitalario Universitario Insular, Universidad de Las Palmas de Gran Canaria, Las Palmas de Gran Canaria, Las Palmas, España
| | - P Mercader-García
- Servicio de Dermatología, Hospital General Universitario Morales Meseguer, Murcia, España
| | - R González Pérez
- Servicio de Dermatología, Hospital Universitario De Araba, Universidad del País Vasco, Vitoria-Gasteiz, España
| | - S Córdoba-Guijarro
- Servicio de Dermatología, Hospital Universitario de Fuenlabrada, Fuenlabrada, España
| | - A M Giménez-Arnau
- Servicio de Dermatología, Hospital del Mar, Research Institute, Universitat Pompeu Fabra, Barcelona, España
| | - I Ruiz-González
- Servicio de Dermatología, Complejo Asistencial Universitario de León, León, España
| | - J Miquel-Miquel
- Servicio de Dermatología, Hospital Arnau de Vilanova, Valencia, España
| | - J F Silvestre
- Servicio de Dermatología, Hospital General Universitario Dr. Balmis, ISABIAL, Alicante, España
| | - F J Ortiz de Frutos
- Servicio de Dermatología, Hospital Universitario 12 de Octubre, Madrid, España
| | - F Tous-Romero
- Servicio de Dermatología, Hospital Universitario 12 de Octubre, Madrid, España
| | - T Sanz Sánchez
- Servicio de Dermatología, Hospital Universitario Infanta Sofía, Madrid, España
| | - M Rodríguez-Serna
- Servicio de Dermatología, Hospital Universitario La Fe, Valencia, España
| | - J Sánchez-Pérez
- Servicio de Dermatología, Hospital Universitario La Princesa, Madrid, España
| | - E Serra Baldrich
- Servicio de Dermatología, Hospital de La Santa Creu i San Pau, Barcelona, España
| | - V Zaragoza-Ninet
- Servicio de Dermatología, Consorcio Hospital General Universitario de Valencia, Valencia, España
| | - M A Pastor-Nieto
- Servicio de Dermatología, Hospital Universitario de Guadalajara, Guadalajara, España
| | - M E Gática-Ortega
- Servicio de Dermatología, Hospital Virgen del Valle Complejo Hospitalario de Toledo, Toledo, España
| | - A Sánchez Gilo
- Servicio de Dermatología, Hospital Universitario Rey Juan Carlos Móstoles, Móstoles, España
| | - G Melé-Ninot
- Servicio de Dermatología, Hospital Universitari Sagrat Cor, Grupo Quirónsalud, Barcelona, España
| | | | - M Munera-Campos
- Servicio de Dermatología, Hospital Universitari Germans Trias i Pujol, Badalona, España
| | - M Á Descalzo
- Unidad de Investigación, Fundación Piel Sana, Madrid, España
| | - I García-Doval
- Unidad de Investigación, Fundación Piel Sana, Madrid, España
| | - J M Carrascosa
- Servicio de Dermatología, Hospital Universitari Germans Trias i Pujol, Badalona, España; Departamento de Medicina, Universitat Autònoma de Barcelona (UAB), IGTP, Barcelona, España
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Mora-Fernández V, Mercader Garcia P, Borrego Hernando L, González Pérez R, Córdoba Guijarro S, Giménez Arnau A, Ruiz González I, Miquel Miquel F, Silvestre Salvador J, Ortiz de Frutos F, Sanz Sanchez T, Rodríguez Serna M, Fernández Redondo V, Sanchez Perez J, Heras Mendaza F, Serra Baldrich E, Zaragoza Ninet V, Pastor Nieto M, Hervella Garcia M, Garcia Doval I, Carrascosa J. Perfil epidemiológico, clínico, y alérgico en pacientes con dermatitis atópica y dermatitis de las manos. Evaluación del Registro Español de Dermatitis de Contacto (REIDAC). Actas Dermo-Sifiliográficas 2022; 113:236-243. [DOI: 10.1016/j.ad.2021.10.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2021] [Revised: 09/27/2021] [Accepted: 10/04/2021] [Indexed: 11/30/2022] Open
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Mora-Fernández V, Mercader Garcia P, Borrego Hernando L, González Pérez R, Córdoba Guijarro S, Giménez Arnau A, Ruiz González I, Miquel Miquel F, Silvestre Salvador J, Ortiz de Frutos F, Sanz Sanchez T, Rodríguez Serna M, Fernández Redondo V, Sanchez Perez J, Heras Mendaza F, Serra Baldrich E, Zaragoza Ninet V, Pastor Nieto M, Hervella Garcia M, Garcia Doval I, Carrascosa J. [Translated article] Epidemiological, Clinical, and Allergy Profile of Patients With Atopic Dermatitis and Hand Eczema: Evaluation of the Spanish Contact Dermatitis Registry (REIDAC). Actas Dermo-Sifiliográficas 2022. [DOI: 10.1016/j.ad.2022.02.015] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022] Open
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Hernández-Fernández C, Mercader-García P, Silvestre Salvador J, Sánchez Pérez J, Fernández Redondo V, Miquel Miquel F, Ortiz de Frutos F, Gatica Ortega M, Mora Fernández V, Giménez Arnau A, Zaragoza Ninet V, González Pérez R, Sanz Sánchez T, Pastor Nieto M, Serra Baldrich E, Córdoba Guijarro S, Heras Mendaza F, Ruiz González I, Rodríguez Serna M, Hervella Garcés M, Gallego Descalzo M, García Doval I, Borrego Hernando L. Candidate allergens for inclusion in the Spanish Standard Series based on data from the Spanish Contact Dermatitis Registry. Actas Dermo-Sifiliográficas (English Edition) 2021. [DOI: 10.1016/j.adengl.2021.07.013] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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Spertino J, Curto Barredo L, Rozas Muñoz E, Figueras Nart I, Serra Baldrich E, Bonfill-Ortí M, Expósito-Serrano V, Guilabert A, Melé Ninot G, Villar Buil M, Garcias Ladaria J, García Navarro X, Vilavella M, Bielsa Marsol I, Aparicio Ortiz G, Baliu Piqué C, Álvarez Abella A, Lamas Domenech N, Mascaró J, Gómez S, Torné Gutiérrez J, Vicente Villa A, Gimenez Arnau A. Algorithm for Treatment of Chronic Spontaneous Urticaria with Omalizumab. Actas Dermo-Sifiliográficas (English Edition) 2018. [DOI: 10.1016/j.adengl.2018.09.011] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
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Spertino J, Curto Barredo L, Rozas Muñoz E, Figueras Nart I, Gimenez Arnau A, Serra Baldrich E, Bonfill-Ortí M, Expósito-Serrano V, Guilabert A, Melé Ninot G, Villar Buil M, Garcias Ladaria J, García Navarro X, Vilavella M, Bielsa Marsol I, Aparicio Ortiz G, Baliu Piqué C, Álvarez Abella A, Lamas Domenech N, Mascaró JM, Gómez S, Torné Gutiérrez JI, Vicente Villa A, Gimenez Arnau A. Algorithm for Treatment of Chronic Spontaneous Urticaria with Omalizumab. Actas Dermosifiliogr (Engl Ed) 2018; 109:771-776. [PMID: 30107875 DOI: 10.1016/j.ad.2018.07.005] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/18/2018] [Revised: 05/20/2018] [Accepted: 07/01/2018] [Indexed: 10/28/2022] Open
Abstract
BACKGROUND AND OBJECTIVE Pivotal trials with omalizumab for treatment of chronic spontaneous urticaria (CSU) are generally run over 12 to 24weeks. However, in clinical practice, many patients need longer treatment. In this article, we present an algorithm for treatment with omalizumab. MATERIAL AND METHODS The consensus document we present is the result of a series of meetings by the CSU working group of "Xarxa d'Urticària Catalana i Balear" (XUrCB) at which data from the recent literature were presented, discussed, compared, and agreed upon. RESULTS Treatment with omalizumab should be initiated at the authorized dose, and is adjusted at 3-monthly intervals according to the Urticaria Activity Score Over 7days, the Urticaria Control Test, or both. CONCLUSIONS The algorithm proposed is designed to provide guidance on how to adjust omalizumab doses, how and when to discontinue the drug, and how to reintroduce it in cases of relapse.
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Affiliation(s)
- J Spertino
- Servicio de Dermatología, Hospital de la Santa Creu i Sant Pau, Barcelona, España.
| | | | - E Rozas Muñoz
- Servicio de Dermatología, Hospital de la Santa Creu i Sant Pau, Barcelona, España
| | - I Figueras Nart
- Hospital Universitari de Bellvitge, Hospitalet de Llobregat, Barcelona, España
| | | | - E Serra Baldrich
- Servicio de Dermatología, Hospital de la Santa Creu i Sant Pau, Barcelona, España
| | - M Bonfill-Ortí
- Hospital Universitari de Bellvitge, Hospitalet de Llobregat, Barcelona, España
| | | | - A Guilabert
- Hospital General de Granollers, Granollers, Barcelona, España
| | - G Melé Ninot
- Hospital Universitari Sagrat Cor, Barcelona, España
| | - M Villar Buil
- Hospital de Sant Joan Despí Moisès Broggi, Sant Joan Despí, Barcelona, España
| | | | - X García Navarro
- Consorci Sanitari del Garraf, Sant Pere de Ribes, Barcelona, España
| | - M Vilavella
- Consorci Sanitari de Terrassa, Terrassa, Barcelona, España
| | | | | | - C Baliu Piqué
- Consorci Sanitari de l'Anoia, Igualada, Barcelona, España
| | | | | | - J M Mascaró
- Hospital Clínic de Barcelona, Barcelona, España
| | - S Gómez
- Hospital Clínic de Barcelona, Barcelona, España
| | | | - A Vicente Villa
- Hospital Sant Joan de Déu, Esplugues de Llobregat, Barcelona, España
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Serra Baldrich E. En memoria del doctor Demetrio Luis Alvarado Moncayo. Actas Dermo-Sifiliográficas 2017. [DOI: 10.1016/j.ad.2017.11.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
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García A, Rodríguez Martín AM, Serra Baldrich E, Manubens Mercade E, Puig Sanz L. Allergic contact dermatitis to silver in a patient treated with silver sulphadiazine after a burn. J Eur Acad Dermatol Venereol 2014; 30:365-6. [DOI: 10.1111/jdv.12785] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- A.A. García
- Department of Dermatology; Hospital Son Llàtzer; Palma de Mallorca Spain
| | | | - E. Serra Baldrich
- Department of Dermatology; Hospital de la Santa Creu i Sant Pau; Barcelona Spain
| | - E. Manubens Mercade
- Department of Dermatology; Hospital de la Santa Creu i Sant Pau; Barcelona Spain
| | - L. Puig Sanz
- Department of Dermatology; Hospital de la Santa Creu i Sant Pau; Barcelona Spain
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Sanchez-Perez J, De Frutos JO, Bravo BG, Salazar LC, Muntañola AA, De la Cuadra Oyanguren J, Fernandez-Redondo V, Juanena DG, Vozmediano JMF, Manrique P, Romero AM, Alvarez BP, Serna MR, Sagrera CR, Pedreño PS, Baldrich ES, Silvestre JF, Vilaplana JV. P23
Allergic contact sensitization in Spanish patch-tested patients in 2001. Contact Dermatitis 2008. [DOI: 10.1111/j.0105-1873.2004.0309fe.x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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