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Blauvelt A, Reich K, Mehlis S, Vanaclocha F, Sofen H, Abramovits W, Zhao Y, Gilloteau I, Davenport E, Williams N, Guana A, Tyring S. Secukinumab demonstrates greater sustained improvements in daily activities and personal relationships than ustekinumab in patients with moderate-to-severe plaque psoriasis: 52-week results from the CLEAR study. J Eur Acad Dermatol Venereol 2017; 31:1693-1699. [PMID: 28602039 PMCID: PMC6084293 DOI: 10.1111/jdv.14391] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2017] [Accepted: 05/18/2017] [Indexed: 12/14/2022]
Abstract
Background Psoriasis can greatly impact patients’ lives by influencing clothing worn as well as by impairing sexual functioning. Secukinumab, a human monoclonal antibody selectively neutralizing interleukin‐17A, has demonstrated good efficacy and safety in the treatment of moderate‐to‐severe psoriasis and psoriatic arthritis with a rapid onset of action and sustained response. Objective This analysis using the CLEAR study, a phase 3b double‐blind study comparing the efficacy and safety of secukinumab vs. ustekinumab in adults with moderate‐to‐severe plaque psoriasis, evaluated the treatment effects on patient's daily activities and personal relationships. Methods Impact on daily activities (interference with home/shopping/garden, and influence on clothes worn) and impact on personal relationships (problems with partner/others, and sexual difficulties) as well as their corresponding subscales were selected from the Dermatology Life Quality Index scale and evaluated for patients treated with secukinumab vs. ustekinumab from the CLEAR study. Treatment differences in mean scores and proportions of responders (score = 0, indicating no impact) were evaluated through 52 weeks. Time to response was evaluated through Week 16. Results Significant differences between secukinumab and ustekinumab were observed for daily activities and personal relationships at Week 16 and sustained through Week 52 (Week 52 response rates for daily activities: 82.9% vs. 73.5%, including interference with home/shopping/garden: 88.5% vs. 78.2%, and influence on clothes worn: 85.6% vs. 74.4%; personal relationships: 86.1% vs. 73.7%, including problems with partner/others: 86.6% vs. 74.8%, and sexual difficulties: 88.5% vs. 74.3%; all P < 0.01). The median time to response was 4 weeks for secukinumab vs. 8 weeks for ustekinumab for daily activities and personal relationships (both P < 0.05). Conclusion Secukinumab treatment helps patients with moderate‐to‐severe plaque psoriasis have a more normal life faster when compared to ustekinumab, by providing greater and sustained improvement in clothing choice and sexual functioning.
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Affiliation(s)
- A Blauvelt
- Oregon Medical Research Center, Portland, OR, USA
| | - K Reich
- Dermatologikum Hamburg and SCIderm GmbH, Hamburg, Germany
| | - S Mehlis
- NorthShore University Health System, Skokie, IL, USA
| | - F Vanaclocha
- Dermatology Department, Hospital Universitario, Madrid, Spain
| | - H Sofen
- Department of Medicine (Dermatology) UCLA, Los Angeles, CA, USA
| | - W Abramovits
- Baylor University Medical Center, Dallas, TX, USA
| | - Y Zhao
- Formerly with Novartis Pharmaceuticals Corporation, East Hanover, NJ, USA
| | | | - E Davenport
- RTI Health Solutions, Research Triangle Park, NC, USA
| | - N Williams
- RTI Health Solutions, Research Triangle Park, NC, USA
| | - A Guana
- Novartis Pharmaceuticals Corporation, East Hanover, NJ, USA
| | - S Tyring
- University of Texas Health Science Center for Clinical Studies, Houston, TX, USA
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2
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Pérez-Plaza A, Carretero G, Ferrandiz C, Vanaclocha F, Gómez-García F, Herrera-Ceballos E, De la Cueva-Dobao P, Belinchón I, Sánchez-Carazo J, Alsina M, López-Estebaranz J, Ferrán M, Torrado R, Carrascosa J, Llamas-Velasco M, Rivera R, Jiménez-Puya R, García-Doval I, Descalzo M. Comparison of phenotype, comorbidities, therapy and adverse events between psoriatic patients with and without psoriatic arthritis. Biobadaderm registry. J Eur Acad Dermatol Venereol 2017; 31:1021-1028. [DOI: 10.1111/jdv.14188] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2016] [Accepted: 02/06/2017] [Indexed: 12/31/2022]
Affiliation(s)
- A. Pérez-Plaza
- Hospital Universitario de la Princesa; IIS-IP; Madrid Spain
| | - G. Carretero
- Hospital Universitario de Gran Canaria Dr Negrin; Las Palmas de Gran Canaria Spain
| | - C. Ferrandiz
- Hospital Universitario Germans Trias i Pujol; Badalona Spain
| | | | | | | | | | - I. Belinchón
- Hospital General Universitario de Alicante; Alicante Spain
| | | | - M. Alsina
- Hospital Clinic de Barcelona; Universitat de Barcelona; Barcelona Spain
| | | | - M. Ferrán
- Hospital del Mar; Parc de Salut Mar; Barcelona Spain
| | - R. Torrado
- Hospital Universitario de Gran Canaria Dr Negrin; Las Palmas de Gran Canaria Spain
| | - J.M. Carrascosa
- Hospital Universitario Germans Trias i Pujol; Badalona Spain
| | | | - R. Rivera
- Hospital Universitario 12 de Octubre; Madrid Spain
| | | | - I. García-Doval
- Research Unit; Fundacion Piel Sana Academia Española de Dermatologia y Venereologia; Madrid Spain
- Complexo Hospitalario Universitario de Vigo; Vigo Spain
| | - M.A. Descalzo
- Research Unit; Fundacion Piel Sana Academia Española de Dermatologia y Venereologia; Madrid Spain
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3
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Echeverría-García B, Nuño-González A, Dauden E, Vanaclocha F, Torrado R, Belinchón I, Pérez-Zafrilla B. Serie de casos de pacientes psoriásicas expuestas a terapia biológica durante el embarazo. Registro BIOBADADERM y revisión de la literatura. Actas Dermo-Sifiliográficas 2017; 108:168-170. [DOI: 10.1016/j.ad.2016.09.004] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2016] [Revised: 08/12/2016] [Accepted: 09/04/2016] [Indexed: 01/28/2023] Open
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4
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Echeverría-García B, Nuño-González A, Dauden E, Vanaclocha F, Torrado R, Belinchón I, Pérez-Zafrilla B. A Case Series of Patients With Psoriasis Exposed to Biologic Therapy During Pregnancy: The BIOBADADERM Register and a Review of the Literature. Actas Dermo-Sifiliográficas (English Edition) 2017. [DOI: 10.1016/j.adengl.2016.12.015] [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: 11/28/2022] Open
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5
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Galiano Mejías S, Carretero G, Ferrandiz C, Vanaclocha F, Daudén E, Gómez-García F, Herrera-Ceballos E, Belinchón-Romero I, Sánchez-Carazo J, López-Estebaranz J, Alsina M, Ferrán M, Torrado R, Carrascosa J, Rivera R, Llamas-Velasco M, Jiménez-Puya R, Mendiola MV, Ruiz-Genao D, Descalzo M, de la Cueva Dobao P. Management of Biologic Therapy in Moderate to Severe Psoriasis in Surgical Patients: Data From the Spanish Biobadaderm Registry. Actas Dermo-Sifiliográficas (English Edition) 2017. [DOI: 10.1016/j.adengl.2016.11.002] [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] [Indexed: 11/15/2022] Open
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6
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Ruiz-Genao D, Perez-Zafrilla B, Lopez-Estebaranz JL, Belinchón-Romero I, Carrascosa JM, Ferrán M, Vanaclocha F, Herrera-Ceballos E, García-Doval I. Possible paradoxical occurrence of inflammatory arthritis in patients with psoriasis treated with biologics: findings in the Biobadaderm cohort. Br J Dermatol 2016; 176:797-799. [PMID: 27120993 DOI: 10.1111/bjd.14690] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
Affiliation(s)
- D Ruiz-Genao
- Department of Dermatology, Hospital Universitario Fundación Alcorcón, Madrid, Spain
| | - B Perez-Zafrilla
- Research Unit, Fundación Academia Española de Dermatología y Venereología, Madrid, Spain.,Research Unit, Complejo Hospitalario Universitario de Albacete, Albacete, Spain
| | - J L Lopez-Estebaranz
- Department of Dermatology, Hospital Universitario Fundación Alcorcón, Madrid, Spain
| | - I Belinchón-Romero
- Department of Dermatology, Hospital General Universitario de Alicante, Alicante, Spain
| | - J M Carrascosa
- Department of Dermatology, Hospital Universitario Germans Trias i Pujol, Universitat Autónoma de Barcelona, Badalona, Barcelona, Spain
| | - M Ferrán
- Department of Dermatology, Hospital del Mar, Parc de Salut Mar, Barcelona, Spain
| | - F Vanaclocha
- Department of Dermatology, Hospital Universitario 12 de Octubre, Madrid, Spain
| | - E Herrera-Ceballos
- Department of Dermatology, Hospital Universitario Reina Sofía, Córdoba, Spain
| | - I García-Doval
- Research Unit, Fundación Academia Española de Dermatología y Venereología, Madrid, Spain.,Department of Dermatology, Complexo Hospitalario Universitario de Vigo, Vigo, Spain
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- Research Unit, Fundación Academia Española de Dermatología y Venereología, Madrid, Spain
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7
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García-Doval I, Hernández MV, Vanaclocha F, Sellas A, de la Cueva P, Montero D. Should tumour necrosis factor antagonist safety information be applied from patients with rheumatoid arthritis to psoriasis? Rates of serious adverse events in the prospective rheumatoid arthritis BIOBADASER and psoriasis BIOBADADERM cohorts. Br J Dermatol 2016; 176:643-649. [PMID: 27258623 DOI: 10.1111/bjd.14776] [Citation(s) in RCA: 29] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/24/2016] [Indexed: 12/12/2022]
Abstract
BACKGROUND Information on the safety of tumour necrosis factor (TNF) antagonists frequently arises from their use in rheumatic diseases, their first approved indications, and is later applied to psoriasis. Whether the risk of biological therapy is similar in psoriasis and rheumatoid arthritis has been considered a priority research question. OBJECTIVES To compare the safety profile of anti-TNF drugs in patients with rheumatoid arthritis and psoriasis. METHODS We compared two prospective safety cohorts of patients with rheumatoid arthritis and psoriasis that share methods (BIOBADASER and BIOBADADERM). RESULTS There were 1248 serious or mortal adverse events in 16 230 person-years of follow-up in the rheumatoid arthritis cohort (3171 patients), and 124 in the 2760 person-years of follow-up of the psoriasis cohort (946 patients). Serious and mortal adverse events were less common in patients with psoriasis than in rheumatoid arthritis (incidence rate ratio of serious adverse events in psoriasis/rheumatoid arthritis: 0·6, 95% confidence interval 0·5-0·7). This risk remained after adjustment for sex, age, treatment, disease, hypertension, diabetes, hypercholesterolaemia and simultaneous therapy with methotrexate (hazard ratio 0·54, 95% confidence interval 0·47-0·61), and after excluding patients receiving corticosteroids. Patients with rheumatoid arthritis showed a higher rate of infections, cardiac disorders, respiratory disorders and infusion-related reactions, whereas patients with psoriasis had more skin and subcutaneous tissue disorders and hepatobiliary disorders. CONCLUSIONS Patients with rheumatoid arthritis clinical practice have almost double the risk of serious adverse events compared with patients with psoriasis, with a different pattern of adverse events. Safety data from rheumatoid arthritis should not be fully extrapolated to psoriasis. These differences are likely to apply to other immune-mediated inflammatory diseases.
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Affiliation(s)
- I García-Doval
- Research Unit, Fundación Academia Española de Dermatología y Venereología, Madrid, Spain.,Dermatology Department, Complexo Hospitalario Universitario de Vigo, Vigo, Spain
| | - M V Hernández
- Rheumatology Department, Hospital Clinic, Barcelona, Spain
| | - F Vanaclocha
- Dermatology Department, Hospital Universitario 12 de Octubre, Madrid, Spain
| | - A Sellas
- Rheumatology Department, Hospital Universitario Vall d'Hebron, Barcelona, Spain
| | - P de la Cueva
- Dermatology Department, Hospital Universitario Infanta Leonor, Madrid, Spain
| | - D Montero
- Division of Pharmacoepidemiology and Pharmacovigilance, Agencia Española del Medicamento y Productos Sanitarios (AEMPS), Madrid, Spain
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8
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Galiano Mejías S, Carretero G, Ferrandiz C, Vanaclocha F, Daudén E, Gómez-García FJ, Herrera-Ceballos E, Belinchón-Romero I, Sánchez-Carazo JL, López-Estebaranz JL, Alsina M, Ferrán M, Torrado R, Carrascosa JM, Rivera R, Llamas-Velasco M, Jiménez-Puya R, Mendiola MV, Ruiz-Genao D, Descalzo MA, de la Cueva Dobao P. Management of Biologic Therapy in Moderate to Severe Psoriasis in Surgical Patients: Data From the Spanish Biobadaderm Registry. Actas Dermosifiliogr 2016; 108:52-58. [PMID: 27658689 DOI: 10.1016/j.ad.2016.08.003] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [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: 03/19/2016] [Revised: 07/02/2016] [Accepted: 08/04/2016] [Indexed: 10/21/2022] Open
Abstract
BACKGROUND AND OBJECTIVE We now have considerable experience in the use of biologic agents to treat psoriasis, but doubts about management arise in certain clinical settings. Surgery is one of them. Although treatment guidelines advise that biologics be suspended before major surgery, data about actual clinical practices and associated complications are lacking. We aimed to analyze current practice in the clinical management of these cases. METHODS Retrospective study of cases in the Biobadaderm database. We analyzed the management of biologic therapy in patients with psoriasis who underwent surgical procedures. RESULTS Forty-eight of the 2113 patients registered in Biobadaderm underwent surgery. The largest percentage of procedures (31%) involved skin lesions. Biologic treatment was interrupted in 42% of the cases. No postsurgical complications were significantly related to treatment interruption. Likewise we detected no associations between treatment interruption and other variables, such as sex, age, or duration or severity of psoriasis. CONCLUSION Continuity of biologic treatment and the risk of postsurgical complications were not associated in this study, although conclusions are limited by the small sample size.
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Affiliation(s)
- S Galiano Mejías
- Servicio de Dermatología, Hospital Infanta Leonor, Madrid, España.
| | - G Carretero
- Servicio de Dermatología, Hospital Universitario de Gran Canaria Doctor Negrín, Las Palmas de Gran Canaria, España
| | - C Ferrandiz
- Servicio de Dermatología, Hospital Universitario Germans Trias i Pujol, Badalona, Universitat Autónoma de Barcelona, Barcelona, España
| | - F Vanaclocha
- Servicio de Dermatología, Hospital Universitario 12 de Octubre, Madrid, España
| | - E Daudén
- Servicio de Dermatología, Hospital Universitario La Princesa, Madrid, España
| | - F J Gómez-García
- Servicio de Dermatología, Hospital Universitario Reina Sofía, Córdoba, España
| | - E Herrera-Ceballos
- Servicio de Dermatología, Hospital Universitario Virgen de la Victoria, Málaga, España
| | - I Belinchón-Romero
- Servicio de Dermatología, Hospital General Universitario de Alicante, Alicante, España
| | - J L Sánchez-Carazo
- Servicio de Dermatología, Hospital General Universitario de Valencia, Valencia, España
| | - J L López-Estebaranz
- Servicio de Dermatología, Hospital Universitario Fundación Alcorcón, Madrid, España
| | - M Alsina
- Servicio de Dermatología, Hospital Universitario Clinic de Barcelona, Barcelona, España
| | - M Ferrán
- Servicio de Dermatología, Hospital del Mar, Parc de Salut Mar, Barcelona, España
| | - R Torrado
- Servicio de Dermatología, Hospital Universitario de Gran Canaria Doctor Negrín, Las Palmas de Gran Canaria, España
| | - J M Carrascosa
- Servicio de Dermatología, Hospital Universitario Germans Trias i Pujol, Badalona, Universitat Autónoma de Barcelona, Barcelona, España
| | - R Rivera
- Servicio de Dermatología, Hospital Universitario 12 de Octubre, Madrid, España
| | - M Llamas-Velasco
- Servicio de Dermatología, Hospital Universitario La Princesa, Madrid, España
| | - R Jiménez-Puya
- Servicio de Dermatología, Hospital Universitario Reina Sofía, Córdoba, España
| | - Mª V Mendiola
- Servicio de Dermatología, Hospital Universitario Virgen de la Victoria, Málaga, España
| | - D Ruiz-Genao
- Servicio de Dermatología, Hospital Universitario Fundación Alcorcón, Madrid, España
| | - M A Descalzo
- Unidad de Investigación, Fundación Academia Española de Dermatología y Venereología, Madrid, España
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9
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Dávila-Seijo P, Dauden E, Carretero G, Ferrandiz C, Vanaclocha F, Gómez-García FJ, Herrera-Ceballos E, De la Cueva-Dobao P, Belinchón I, Sánchez-Carazo JL, Alsina M, López-Estebaranz JL, Ferrán M, Torrado R, Carrascosa JM, Llamas M, Rivera R, Jiménez-Puya R, García-Doval I. Survival of classic and biological systemic drugs in psoriasis: results of the BIOBADADERM registry and critical analysis. J Eur Acad Dermatol Venereol 2016; 30:1942-1950. [PMID: 27329511 DOI: 10.1111/jdv.13682] [Citation(s) in RCA: 33] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2015] [Accepted: 02/22/2016] [Indexed: 11/26/2022]
Abstract
BACKGROUND Few reported studies compare drug survival in moderate-to-severe psoriasis vulgaris. OBJECTIVES To describe and compare drug survival of systemic drugs, including biologic agents (infliximab, etanercept, adalimumab and ustekinumab) and classical drugs (acitretin, ciclosporin and methotrexate) in moderate-to-severe psoriasis. METHODS This was a multicenter, prospective, cohort study of patients receiving systemic therapies between 2008 and 2013 in 12 hospitals in Spain. Baseline data and drug discontinuation were collected. Drug survival is presented using Kaplan-Meier survival curves. We compared adjusted risk ratios of serious adverse events (AEs) with results of survival analysis for AEs. RESULTS A total of 1956 patients were included for analysis (1240 exposed to biologics during follow-up and 1076 to classic therapies). Median follow-up time was 3.3 years (0.0-5.1 years). There were 2209 discontinuations out of 3640 therapy cycles started. The main reason for discontinuation was lack of efficacy (36.4%) and remission (27.2%). Biologics showed a higher drug survival than classics and the pattern of survival results for all outcomes (positive or negative) were very similar. Adjusted risk ratios of serious AEs did not agree with results of survival analysis. LIMITATIONS A limitation is that this is an observational study with potential selection bias. CONCLUSION Survival as a proxy measure of drug safety in psoriasis is inadequate.
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Affiliation(s)
- P Dávila-Seijo
- Research Unit, Fundación Academia Española de Dermatología y Venereología, Madrid, Spain. .,Department of Dermatology, Hospital Universitario La Princesa, Madrid, Spain. .,Department of Dermatology, Hospital Universitario de Gran Canaria Dr Negrín, Las Palmas de Gran Canaria, Spain. .,Department of Dermatology, Hospital Universitario Germans Trias i Pujol, Badalona, Spain. .,Department of Dermatology, Hospital Universitario 12 de Octubre, Madrid, Spain. .,Department of Dermatology, Hospital Universitario Reina Sofía, Córdoba, Spain. .,Department of Dermatology, Hospital Universitario Virgen de la Victoria, Málaga, Spain. .,Department of Dermatology, Hospital Infanta Leonor, Madrid, Spain. .,Department of Dermatology, Hospital General Universitario de Alicante, Alicante, Spain. .,Department of Dermatology, Hospital General Universitario de Valencia, Valencia, Spain. .,Department of Dermatology, Hospital Clinic de Barcelona, Barcelona, Spain. .,Department of Dermatology, Hospital Universitario Fundación Alcorcón, Madrid, Spain. .,Department of Dermatology, Hospital del Mar, Parc de Salut Mar, Barcelona, Spain. .,Department of Dermatology, Complexo Hospitalario Universitario de Vigo, Vigo, Spain. .,Department of Dermatology and Venereology, Umeå University Hospital, Umeå, Sweden.
| | - E Dauden
- Department of Dermatology, Hospital Universitario La Princesa, Madrid, Spain
| | - G Carretero
- Department of Dermatology, Hospital Universitario de Gran Canaria Dr Negrín, Las Palmas de Gran Canaria, Spain
| | - C Ferrandiz
- Department of Dermatology, Hospital Universitario Germans Trias i Pujol, Badalona, Spain
| | - F Vanaclocha
- Department of Dermatology, Hospital Universitario 12 de Octubre, Madrid, Spain
| | - F-J Gómez-García
- Department of Dermatology, Hospital Universitario Reina Sofía, Córdoba, Spain
| | - E Herrera-Ceballos
- Department of Dermatology, Hospital Universitario Virgen de la Victoria, Málaga, Spain
| | | | - I Belinchón
- Department of Dermatology, Hospital General Universitario de Alicante, Alicante, Spain
| | - J-L Sánchez-Carazo
- Department of Dermatology, Hospital General Universitario de Valencia, Valencia, Spain
| | - M Alsina
- Department of Dermatology, Hospital Clinic de Barcelona, Barcelona, Spain
| | - J-L López-Estebaranz
- Department of Dermatology, Hospital Universitario Fundación Alcorcón, Madrid, Spain
| | - M Ferrán
- Department of Dermatology, Hospital del Mar, Parc de Salut Mar, Barcelona, Spain
| | - R Torrado
- Department of Dermatology, Hospital Universitario de Gran Canaria Dr Negrín, Las Palmas de Gran Canaria, Spain
| | - J-M Carrascosa
- Department of Dermatology, Hospital Universitario Germans Trias i Pujol, Badalona, Spain
| | - M Llamas
- Department of Dermatology, Hospital Universitario de Gran Canaria Dr Negrín, Las Palmas de Gran Canaria, Spain
| | - R Rivera
- Department of Dermatology, Hospital Universitario Reina Sofía, Córdoba, Spain
| | - R Jiménez-Puya
- Department of Dermatology, Hospital Universitario Virgen de la Victoria, Málaga, Spain
| | - I García-Doval
- Research Unit, Fundación Academia Española de Dermatología y Venereología, Madrid, Spain.,Department of Dermatology, Complexo Hospitalario Universitario de Vigo, Vigo, Spain
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Ruer-Mulard M, Lacour JP, Khemis A, Beylot-Barry M, Célérier P, Thaci D, Blauvelt A, Reich K, Tsai TF, Vanaclocha F, Kingo K, Pinter A, Milutinovic M, Hugot S, Pinton P, Martin L. Supériorité du sécukinumab comparativement à l’ustékinumab évaluée d’après le blanchiment des lésions chez des sujets atteints de psoriasis en plaques modéré à sévère : résultats de l’étude CLEAR à 16 semaines. Ann Dermatol Venereol 2015. [DOI: 10.1016/j.annder.2015.10.294] [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: 11/16/2022]
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11
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Carrascosa J, Rivera N, Garcia-Doval I, Carretero G, Vanaclocha F, Daudén E, Gómez-García F, De-la-Cueva-Dobao P, Herrera-Ceballos E, Belinchón I, Alsina M, Sánchez-Carazo J, Ferrán M, Lopez-Estebaranz J, Pérez-Zafrilla B, Llamas M, Rivera R, Ferrándiz C. Does the treatment ladder for systemic therapy in moderate to severe psoriasis only go up? The percentage of patients with severe psoriasis on biologics increases over time. Actas Dermo-Sifiliográficas (English Edition) 2015. [DOI: 10.1016/j.adengl.2015.04.019] [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: 10/23/2022] Open
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12
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Gargallo V, Gutierrez C, Vanaclocha F, Guerra-Tapia A. Generalized Hypertrichosis Due to Topical Minoxidil. Actas Dermo-Sifiliográficas (English Edition) 2015. [DOI: 10.1016/j.adengl.2015.06.019] [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: 10/23/2022] Open
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13
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Gargallo V, Gutierrez C, Vanaclocha F, Guerra-Tapia A. Hipertricosis generalizada secundaria a minoxidil tópico. Actas Dermo-Sifiliográficas 2015; 106:599-600. [DOI: 10.1016/j.ad.2014.12.016] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2014] [Revised: 09/29/2014] [Accepted: 12/04/2014] [Indexed: 11/24/2022] Open
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14
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Sanz-Bueno J, Vanaclocha F, García-Doval I, Torrado R, Carretero G, Daudén E, Patricia Ruiz-Genao D, Alsina-Gibert M, Pérez-Zafrilla B, Pérez-Rial G, Rivera R. Risk of Reactivation of Hepatitis B Virus Infection in Psoriasis Patients Treated With Biologics: A Retrospective Analysis of 20 Cases From the BIOBADADERM Database. ACTA ACUST UNITED AC 2015. [DOI: 10.1016/j.adengl.2015.05.013] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
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Cañete J, Pinto J, Gratacόs J, Queirό R, Ferrándiz C, Fonseca E, Montilla C, Torre-Alonso J, Puig L, Pérez Venegas J, Fernández Nebro A, Fernández E, Muñoz-Fernández S, Daudén E, González C, Roig D, Sánchez Carazo J, Zarco P, Erra A, Lόpez Estebaranz J, Rodríguez J, Moreno Ramírez D, de la Cueva P, Vanaclocha F, Herrera E, Castañeda S, Rubio E, Salvador G, Díaz-Torné C, Blanco R, Willisch Domínguez A, Mosquera J, Vela P, Tornero J, Sánchez-Fernández S, Corominas H, Ramírez J, Lόpez-Lasanta M, Tortosa R, Palau N, Alonso A, Julià A, Marsal S. OP0310 A Deletion at Adamts9-MAGI1 Locus is Associated with Psoriatic Arthritis Risk. Ann Rheum Dis 2015. [DOI: 10.1136/annrheumdis-2015-eular.3521] [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: 11/04/2022]
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16
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Delgado-Márquez AM, Zarco C, Ruiz R, Simarro A, Vanaclocha F. Severe disseminated primary herpes simplex infection as skin manifestation of GATA2 deficiency. J Eur Acad Dermatol Venereol 2015; 30:1248-50. [PMID: 25955867 DOI: 10.1111/jdv.13183] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [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)
| | - C Zarco
- Department of Dermatology, Hospital 12 de Octubre, Madrid, Spain
| | - R Ruiz
- Department of Immunology, Hospital 12 de Octubre, Madrid, Spain
| | - A Simarro
- Department of Internal Medicine, Hospital 12 de Octubre, Madrid, Spain
| | - F Vanaclocha
- Department of Dermatology, Hospital 12 de Octubre, Madrid, Spain
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Delgado-Márquez A, Carmona M, Vanaclocha F, Postigo C. Effectiveness of Extracorporeal Shock Wave Lithotripsy to Treat Dystrophic Calcinosis Cutis Ulcers. Actas Dermo-Sifiliográficas (English Edition) 2015. [DOI: 10.1016/j.adengl.2014.12.004] [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: 11/28/2022] Open
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18
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Belinchón I, Vanaclocha F, de la Cueva-Dobao P, Coto-Segura P, Labandeira J, Herranz P, Taberner R, Juliá B, Cea-Calvo L, Puig L. Metabolic syndrome in Spanish patients with psoriasis needing systemic therapy: Prevalence and association with cardiovascular disease in PSO-RISK, a cross-sectional study. J DERMATOL TREAT 2014; 26:318-25. [DOI: 10.3109/09546634.2014.983039] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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Julià A, Ferrándiz C, Dauden E, Fonseca E, Fernández-López E, Sanchez-Carazo JL, Vanaclocha F, Puig L, Moreno-Ramírez D, Lopez-Estebaranz JL, Herrera E, de la Cueva P, Ávila G, Alonso A, Tortosa R, López-Lasanta M, Marsal S. Association of the PDE3A-SLCO1C1 locus with the response to anti-TNF agents in psoriasis. Pharmacogenomics J 2014; 15:322-5. [DOI: 10.1038/tpj.2014.71] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/14/2014] [Revised: 09/15/2014] [Accepted: 09/19/2014] [Indexed: 12/14/2022]
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Delgado-Márquez AM, Carmona M, Vanaclocha F, Postigo C. Effectiveness of extracorporeal shock wave lithotripsy to treat dystrophic calcinosis cutis ulcers. Actas Dermosifiliogr 2014; 106:140-3. [PMID: 25441166 DOI: 10.1016/j.ad.2014.06.006] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2014] [Revised: 06/02/2014] [Accepted: 06/14/2014] [Indexed: 11/18/2022] Open
Affiliation(s)
| | - M Carmona
- Departamento de Rehabilitación, Hospital 12 de Octubre, Madrid, España
| | - F Vanaclocha
- Departamento de Dermatología, Hospital 12 de Octubre, Madrid, España
| | - C Postigo
- Departamento de Dermatología, Hospital 12 de Octubre, Madrid, España
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Medina C, Carretero G, Ferrandiz C, Dauden E, Vanaclocha F, Gómez-García F, Herrera-Ceballos E, De la Cueva-Dobao P, Belinchón I, Sánchez-Carazo J, Alsina M, López-Estebaranz J, Ferrán M, Carrascosa J, Torrado R, Argila D, Rivera R, Jiménez-Puya R, García-Doval I. Safety of classic and biologic systemic therapies for the treatment of psoriasis in elderly: an observational study from national BIOBADADERM registry. J Eur Acad Dermatol Venereol 2014; 29:858-64. [DOI: 10.1111/jdv.12688] [Citation(s) in RCA: 39] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2014] [Accepted: 07/15/2014] [Indexed: 11/27/2022]
Affiliation(s)
- C. Medina
- Hospital Universitario de Gran Canaria Dr Negrín; Las Palmas de Gran Canaria Spain
| | - G. Carretero
- Hospital Universitario de Gran Canaria Dr Negrín; Las Palmas de Gran Canaria Spain
| | - C. Ferrandiz
- Hospital Universitario Germans Trias i Pujol; Badalona Spain
| | - E. Dauden
- Hospital Universitario la Princesa; Madrid Spain
| | | | | | | | | | - I. Belinchón
- Hospital General Universitario de Alicante; Alicante Spain
| | | | - M. Alsina
- Hospital Clinic de Barcelona; Barcelona Spain
| | | | - M. Ferrán
- Hospital del Mar; Parc de Salut Mar; Barcelona Spain
| | - J.M. Carrascosa
- Hospital Universitario Germans Trias i Pujol; Badalona Spain
| | - R. Torrado
- Hospital Universitario de Gran Canaria Dr Negrín; Las Palmas de Gran Canaria Spain
| | - D. Argila
- Hospital Universitario la Princesa; Madrid Spain
| | - R. Rivera
- Hospital Universitario 12 de Octubre; Córdoba Spain
| | | | - I. García-Doval
- Research Unit.; Fundación Academia Española de Dermatología y Venereología; Madrid Spain
- Complexo Hospitalario Universitario de Vigo; Vigo Spain
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22
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Vanaclocha F, Crespo-Erchiga V, Jiménez-Puya R, Puig L, Sánchez-Carazo JL, Ferrán M, Sancho C, Juliá B, Cea-Calvo L, Marín-Jiménez I, García-Vicuña R. Immune-mediated inflammatory diseases and other comorbidities in patients with psoriasis: baseline characteristics of patients in the AQUILES study. Actas Dermosifiliogr 2014; 106:35-43. [PMID: 25091923 DOI: 10.1016/j.ad.2014.06.003] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.8] [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: 05/07/2014] [Revised: 05/26/2014] [Accepted: 06/01/2014] [Indexed: 01/18/2023] Open
Abstract
INTRODUCTION AND OBJECTIVES Patients with psoriasis often have comorbidities, including other immune-mediated inflammatory diseases (IMIDs), and cardiovascular risk factors. In this article we describe the baseline prevalence of comorbidities-including other IMIDs-in a cohort of patients with psoriasis. PATIENTS AND METHODS AQUILES was a prospective observational multicenter study of 3 patient cohorts (patients with psoriasis, spondyloarthritis, or inflammatory bowel disease) undertaken to investigate the prevalence of comorbidities, including other IMIDs, in these settings. The psoriasis cohort comprised patients aged at least 18 years who were seen in hospital dermatology clinics. A predefined protocol was used to collect demographic and clinical data. RESULTS The study enrolled 528 patients with psoriasis (60.2% men and 39.8% women). Mean age was 46.7 years; 89.8% of the participants had plaque psoriasis, and the median Psoriasis Area Severity Index score (PASI) was 3.2 (1.5-7.4). Comorbid IMIDs were present in 82 (15.5%) of the patients (CI 95%, 12.7%-18.9%). Spondyloarthritis was observed in 14% of patients (95% CI, 11.3%-17.2%), mostly in the form of psoriatic arthritis, for which the overall prevalence was 13.1% (95% CI, 10.5%-16.2%). Inflammatory bowel disease was present in 1.3% (95% CI, 0.6%-2.7%) and uveitis in .2% (95% CI, 0.1%-1.4%). Psoriatic arthritis was associated with male sex (odds ratio, 1.75 [.98-2.98]) and a disease duration of over 8 years (OR, 4.17 [1.84-9.44] vs a duration of < 4 years). In 73.1%, at least 1 cardiovascular risk factor was identified: smoking (40.5%), obesity (26.0%), dyslipidemia (24.8%), hypertension (24.3%), and diabetes mellitus (12.3%). CONCLUSION In patients with psoriasis the prevalence of other IMIDs was 15.5%, a level slightly higher than that found in the general population. Nearly three-quarters of these patients had at least 1 cardiovascular risk factor.
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Affiliation(s)
- F Vanaclocha
- Servicio de Dermatología, Hospital Universitario 12 de Octubre, Madrid, España
| | - V Crespo-Erchiga
- Servicio de Dermatología, Hospital Regional Universitario Carlos Haya, Málaga, España
| | - R Jiménez-Puya
- Servicio de Dermatología, Hospital Universitario Reina Sofía, Córdoba, España
| | - L Puig
- Servicio de Dermatología, Hospital de la Santa Creu i Sant Pau, Barcelona, España
| | - J L Sánchez-Carazo
- Servicio de Dermatología, Hospital General Universitario, Valencia, España
| | - M Ferrán
- Servicio de Dermatología, Hospital del Mar, Barcelona, España
| | - C Sancho
- Medical Affairs, Merck Sharp & Dohme, España
| | - B Juliá
- Medical Affairs, Merck Sharp & Dohme, España.
| | - L Cea-Calvo
- Medical Affairs, Merck Sharp & Dohme, España
| | - I Marín-Jiménez
- Servicio de Gastroenterología, Hospital General Universitario Gregorio Marañón, Madrid, España
| | - R García-Vicuña
- Servicio de Reumatología, Hospital Universitario La Princesa, IISP, Madrid, España
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García-Vicuna R, Zarco P, Gonzalez C, Rodríguez de la Serna A, Peiro E, Mateo I, Linares L, Calvo J, Fernandez S, Cea-Calvo L, Arteaga M, Marín-Jiménez I, Vanaclocha F. AB0719 2-Year Incidence of New Immune-Mediated Inflamatory Diseases in Patients with Spondyloarthritis. the Aquiles Study. Ann Rheum Dis 2014. [DOI: 10.1136/annrheumdis-2014-eular.3090] [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: 11/03/2022]
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24
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Sanz-Bueno J, Pérez-Rial G, Castellanos M, Vanaclocha F. Lichenoid Graft-vs-Host Disease With Exclusively Cutaneous Involvement After Liver Transplant. Actas Dermo-Sifiliográficas (English Edition) 2014. [DOI: 10.1016/j.adengl.2013.04.020] [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: 10/25/2022] Open
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25
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Pujol R, Puig L, Daudén E, Sánchez-Carazo J, Toribio J, Vanaclocha F, Yébenes M, Sabater E, Casado M, Caloto M, Aragón B. Mental Health Self-Assessment in Patients With Moderate to Severe Psoriasis: An Observational, Multicenter Study of 1164 Patients in Spain (The VACAP Study). Actas Dermo-Sifiliográficas 2013; 104:897-903. [DOI: 10.1016/j.ad.2013.04.014] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2012] [Revised: 03/21/2013] [Accepted: 04/14/2013] [Indexed: 11/29/2022] Open
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26
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Pujol R, Puig L, Daudén E, Sánchez-Carazo J, Toribio J, Vanaclocha F, Yébenes M, Sabater E, Casado M, Caloto M, Aragón B. Mental Health Self-Assessment in Patients With Moderate to Severe Psoriasis: An Observational, Multicenter Study of 1164 Patients in Spain (The VACAP Study). Actas Dermo-Sifiliográficas (English Edition) 2013. [DOI: 10.1016/j.adengl.2013.04.019] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
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27
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Daudén E, Pujol R, Sánchez-Carazo J, Toribio J, Vanaclocha F, Puig L, Yébenes M, Sabater E, Casado M, Caloto M, Aragón B. Demographic characteristics and health-related quality of life of patients with moderate-to-severe psoriasis: The VACAP study. Actas Dermo-Sifiliográficas (English Edition) 2013. [DOI: 10.1016/j.adengl.2013.03.008] [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: 12/01/2022] Open
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28
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Rivera R, Herranz P, Vanaclocha F. Clinical significance of immunogenicity in biologic therapy. Actas Dermosifiliogr 2013; 105:1-4. [PMID: 24041810 DOI: 10.1016/j.ad.2013.07.002] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2013] [Revised: 07/18/2013] [Accepted: 07/18/2013] [Indexed: 11/18/2022] Open
Affiliation(s)
- R Rivera
- Servicio de Dermatología, Hospital Universitario 12 de Octubre, Madrid, España.
| | - P Herranz
- Servicio de Dermatología. Hospital Universitario La Paz, Madrid, España
| | - F Vanaclocha
- Servicio de Dermatología, Hospital Universitario 12 de Octubre, Madrid, España
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29
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Carretero G, Ribera M, Belinchón I, Carrascosa J, Puig L, Ferrandiz C, Dehesa L, Vidal D, Peral F, Jorquera E, Gonzalez-Quesada A, Muñoz C, Notario J, Vanaclocha F, Moreno J. Acitretina: guía de uso en psoriasis. Actas Dermo-Sifiliográficas 2013. [DOI: 10.1016/j.ad.2013.01.003] [Citation(s) in RCA: 33] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022] Open
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30
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Carretero G, Ribera M, Belinchón I, Carrascosa JM, Puig L, Ferrandiz C, Dehesa L, Vidal D, Peral F, Jorquera E, González-Quesada A, Muñoz C, Notario J, Vanaclocha F, Moreno JC. Guidelines for the use of acitretin in psoriasis. Psoriasis Group of the Spanish Academy of Dermatology and Venereology. Actas Dermosifiliogr 2013; 104:598-616. [PMID: 23891453 DOI: 10.1016/j.adengl.2013.01.001] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.8] [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: 11/18/2012] [Accepted: 01/20/2013] [Indexed: 02/01/2023] Open
Abstract
Phototherapy, classic systemic treatments (methotrexate, acitretin, and ciclosporin), and biologic agents (etanercept, infliximab, adalimumab, and ustekinumab) constitute a broad therapeutic arsenal that increases the likelihood of achieving control of severe and extensive disease in patients with psoriasis. Acitretin continues to be a very valuable tool in both monotherapy, in which it is combined with other systemic treatments (classic or biologic), and in sequential therapy. Thanks to its lack of a direct immunosuppressive effect and its ability to achieve a long-term response, acitretin has an important role in the treatment of psoriasis, although this has not always been acknowledged in relevant treatment guidelines. We present consensus guidelines for the use of acitretin in psoriasis drawn up by the Psoriasis Group of the Spanish Academy of Dermatology and Venereology. These guidelines provide a detailed account of acitretin, including pharmacological properties, indications and contraindications, adverse effects, and factors that should be taken into account to enhance the safe use of this drug. They also propose treatment strategies for use in routine clinical practice. The overall aim of these guidelines is to define the criteria for the use and management of acetretin in psoriasis.
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Affiliation(s)
- G Carretero
- Grupo de Psoriasis de la Academia Española de Dermatología y Venereología, Spain.
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Carrascosa J, Vilavella M, Garcia-Doval I, Carretero G, Vanaclocha F, Daudén E, Gómez-García F, Herrera-Ceballos E, De la Cueva Dobao P, Belinchón I, Sánchez-Carazo J, Alsina M, López-Estebaranz J, Ferrán M, Peral F, Torrado R, Rivera R, Jiménez-Puya R, Mendiola M, Ferrándiz C. Body mass index in patients with moderate-to-severe psoriasis in Spain and its impact as an independent risk factor for therapy withdrawal: results of the Biobadaderm Registry. J Eur Acad Dermatol Venereol 2013; 28:907-14. [DOI: 10.1111/jdv.12208] [Citation(s) in RCA: 54] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2013] [Revised: 05/04/2013] [Accepted: 06/10/2013] [Indexed: 02/01/2023]
Affiliation(s)
- J.M. Carrascosa
- Hospital Universitari Germans Trías i Pujol, Badalona; Universitat Autònoma de Barcelona; Barcelona
| | - M. Vilavella
- Hospital Universitari Germans Trías i Pujol, Badalona; Universitat Autònoma de Barcelona; Barcelona
| | - I. Garcia-Doval
- Research Unit; Fundación Academia Española de Dermatología y Venereología [Spanish Academy of Dermatology and Venereology Foundation]; Madrid
| | - G. Carretero
- Hospital Universitario de Gran Canaria Dr Negrín; Las Palmas de Gran Canaria
| | | | - E. Daudén
- Hospital Universitario la Princesa; Madrid
| | | | | | | | - I. Belinchón
- Hospital General Universitario de Alicante; Alicante
| | | | - M. Alsina
- Hospital Clinic de Barcelona; Barcelona
| | | | - M. Ferrán
- Hospital del Mar; Parc de Salut Mar; Barcelona
| | - F. Peral
- Hospital Universitario Virgen de la Macarena; Sevilla Spain
| | - R. Torrado
- Hospital Universitario de Gran Canaria Dr Negrín; Las Palmas de Gran Canaria
| | - R. Rivera
- Hospital Universitario 12 de Octubre; Madrid
| | | | - M.V. Mendiola
- Hospital Universitario Virgen de la Victoria; Málaga
| | - C. Ferrándiz
- Hospital Universitari Germans Trías i Pujol, Badalona; Universitat Autònoma de Barcelona; Barcelona
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Sanz-Bueno J, Pérez-Rial G, Castellanos M, Vanaclocha F. Lichenoid graft-vs-host disease with exclusively cutaneous involvement after liver transplant. Actas Dermosifiliogr 2013; 105:198-200. [PMID: 23809586 DOI: 10.1016/j.ad.2013.04.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2012] [Revised: 03/26/2013] [Accepted: 04/01/2013] [Indexed: 11/20/2022] Open
Affiliation(s)
- J Sanz-Bueno
- Servicio de Dermatología, Hospital Universitario 12 de Octubre, Madrid, España.
| | - G Pérez-Rial
- Servicio de Medicina del Aparato Digestivo, Hospital Universitario Gregorio Marañón, Madrid, España
| | - M Castellanos
- Servicio de Dermatología, Hospital Universitario 12 de Octubre, Madrid, España
| | - F Vanaclocha
- Servicio de Dermatología, Hospital Universitario 12 de Octubre, Madrid, España
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Marsal S, Hernanz J, Cañete J, Fonseca E, Ferrandiz C, Unamuno P, Puig L, Fernández-Sueiro J, Sanmartí R, Rodriguez J, Gratacόs J, Dauden E, Sánchez-Carazo J, Lόpez-Estebaranz J, Moreno-Ramirez D, Queirό R, Montilla C, Torre-Alonso J, Pérez-Venegas J, Vanaclocha F, Herrera E, Muñoz-Fernández S, González C, Roig D, Erra A, Acosta I, Fernández-Nebro A, Zarco P, Alonso A, Lόpez-Lasanta M, Julià A, Tortosa R. SAT0018 Identification of new epistatic interactions with the HLA region in the genetic etiology of psoriasis and psoriatic arthritis. Ann Rheum Dis 2013. [DOI: 10.1136/annrheumdis-2012-eular.2966] [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: 11/04/2022]
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Cañete J, Hernanz J, Fonseca E, Ferrandiz C, Unamuno P, Puig L, Fernandez-Sueiro J, Sanmartí R, Rodriguez J, Gratacόs J, Dauden E, Sánchez-Carazo J, Lόpez-Estebaranz J, Moreno D, Queirό R, Ferrandiz C, Torre-Alonso J, Pérez-Venegas J, Vanaclocha F, Herrera E, Muñoz-Fernández S, González C, Roig D, Erra A, Acosta I, Fernandez-Nebro A, Zarco P, Alonso A, Lόpez-Lasanta M, Julià A, Tortosa R, Marsal S. AB0017 Association study of genetic risk variants for psoriasis in a large cohort of psoriatic arthritis, psoriasis and controls of the spanish population and association with relevant clinical subphenotypes. Ann Rheum Dis 2013. [DOI: 10.1136/annrheumdis-2012-eular.17] [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: 11/03/2022]
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García-Bracamonte B, Rodriguez J, Casado R, Vanaclocha F. Electrosurgery in Patients With Implantable Electronic Cardiac Devices (Pacemakers and Defibrillators). Actas Dermo-Sifiliográficas (English Edition) 2013. [DOI: 10.1016/j.adengl.2012.09.020] [Citation(s) in RCA: 3] [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: 11/29/2022] Open
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36
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Hebe Petiti-Martin G, Villar-Buill M, de la Hera I, Fuertes L, Burgués-Calderón M, Rivera-Díaz R, Vanaclocha F. Deep Vein Thrombosis in A Patient with Lepromatous Leprosy Receiving Thalidomide to Treat Leprosy Reaction. ACTA ACUST UNITED AC 2013. [DOI: 10.1016/j.adengl.2011.12.010] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
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García Bracamonte B, Rodriguez J, Casado R, Vanaclocha F. Electrosurgery in patients with implantable electronic cardiac devices (pacemakers and defibrillators). Actas Dermosifiliogr 2012; 104:128-32. [PMID: 23218607 DOI: 10.1016/j.ad.2012.09.012] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2012] [Revised: 09/22/2012] [Accepted: 09/30/2012] [Indexed: 10/27/2022] Open
Abstract
The electrosurgical unit is a very useful tool widely used in dermatology to treat benign and malignant skin lesions and to achieve hemostasis during surgery. However, precautions are required when this technique is used in patients with implantable electronic cardiac devices (IECD), such as pacemakers and defibrillators, because electromagnetic interference produced by the tool may cause such devices to malfunction. Before using electrosurgery in patients with IECDs, it is essential to ascertain the type of implanted device and the patient's level of dependence on it. The location of the skin lesion to be treated with respect to the device should also be assessed. Bipolar pacemakers are more resistant to interference. Appropriate monitoring and the use of bipolar forceps are recommended.
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Affiliation(s)
- B García Bracamonte
- Servicio de Dermatología, Hospital Universitario 12 de Octubre, Madrid, España.
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Sánchez-Moya A, García-Doval I, Carretero G, Sánchez-Carazo J, Ferrandiz C, Herrera Ceballos E, Alsina M, Ferrán M, López-Estebaranz JL, Gómez-García F, De la Cueva Dobao P, Carrascosa JM, Vanaclocha F, Belinchón I, Peral F, Dauden E. Latent tuberculosis infection and active tuberculosis in patients with psoriasis: a study on the incidence of tuberculosis and the prevalence of latent tuberculosis disease in patients with moderate-severe psoriasis in Spain. BIOBADADERM registry. J Eur Acad Dermatol Venereol 2012; 27:1366-74. [DOI: 10.1111/jdv.12011] [Citation(s) in RCA: 35] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/19/2022]
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39
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Rivera R, Vanaclocha F. Ustekinumab en situaciones especiales: embarazo, interrupciones temporales (vacunaciones, cirugía) y otros. Actas Dermo-Sifiliográficas 2012. [DOI: 10.1016/s0001-7310(12)70008-x] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/16/2023] Open
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40
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Hebe Petiti-Martin G, Villar-Buill M, de la Hera I, Fuertes L, Burgués-Calderón M, Rivera-Díaz R, Vanaclocha F. Deep vein thrombosis in a patient with lepromatous leprosy receiving thalidomide to treat leprosy reaction. Actas Dermosifiliogr 2012; 104:67-70. [PMID: 22705284 DOI: 10.1016/j.ad.2011.12.002] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2011] [Revised: 12/13/2011] [Accepted: 12/18/2011] [Indexed: 01/19/2023] Open
Abstract
Thalidomide is the treatment of choice for severe or recurrent erythema nodosum leprosum. Its use has been associated with deep vein thrombosis in patients with blood disorders, however, particularly when used in combination with corticosteroids or chemotherapy. We describe a case of deep vein thrombosis in a 43-year-old man with lepromatous leprosy who was being treated with thalidomide and prednisone for a type 2 leprosy reaction (erythema nodosum leprosum); the patient also had transiently positive antiphospholipid antibody results. We stress the importance of considering deep vein thrombosis, a potentially fatal complication, in dermatology patients treated with thalidomide.
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Petiti Martin G, Castellanos González M, Sanz Bueno J, Burgués Calderón M, Villar Buil M, Vanaclocha F, Peralto JL. [Misdiagnosed childhood sarcoidosis as non-Langerhans' cell histiocytosis treated with tumor necrosis factors-α antagonists]. An Pediatr (Barc) 2012; 77:267-71. [PMID: 22608978 DOI: 10.1016/j.anpedi.2012.01.024] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2011] [Revised: 01/18/2012] [Accepted: 01/21/2012] [Indexed: 11/19/2022] Open
Abstract
Sarcoidosis is a chronic multisystemic granulomatous disease of unknown origin. Generalised eruptive histiocytosis is a rare, benign, self-healing, non-Langerhans' cell histiocytosis (non-LCH). We report the case of an 8-year-old girl with sarcoidosis who was misdiagnosed as non-LCH. She was treated with oral corticosteroids, methotrexate and adalimumab, but there was insufficient control of ocular disease. The introduction of infliximab achieved a control of the uveitis and enabled the corticosteroid dose to be tapered. In some cases of sarcoidosis the lack of well-organised granuloma formation at the beginning of the disease, and the presence of prominent giant cells may suggest alternative diagnoses, such as non-LCH. Although the experience of tumour necrosis factor-α antagonists use in children with sarcoidosis is limited, these drugs may be helpful for those patients experiencing a severe and refractory disease.
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Affiliation(s)
- G Petiti Martin
- Servicio de Dermatología y Anatomía Patológica, Hospital Universitario 12 de Octubre, Madrid, España.
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Villar M, Petiti G, Guerra A, Vanaclocha F. Anogenital granulomatosis. Actas Dermosifiliogr 2012; 103:76-9. [PMID: 22445093 DOI: 10.1016/j.adengl.2011.05.007] [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: 01/25/2011] [Accepted: 05/15/2011] [Indexed: 11/24/2022] Open
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Villar M, Burgués M, Rodríguez-Peralto J, Rivera R, Vanaclocha F. Localized Primary Cutaneous Nodular Amyloidosis in a Patient With Paraproteinemia. Actas Dermo-Sifiliográficas (English Edition) 2012. [DOI: 10.1016/j.adengl.2012.03.007] [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: 10/28/2022] Open
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44
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Villar M, Petiti G, Guerra A, Vanaclocha F. [Anogenital granulomatosis]. Actas Dermosifiliogr 2011; 103:76-9. [PMID: 22078767 DOI: 10.1016/j.ad.2011.05.016] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2011] [Revised: 05/02/2011] [Accepted: 05/15/2011] [Indexed: 11/17/2022] Open
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Monsálvez V, Fuertes L, Frutos JOD, Vanaclocha F. Sensibilización a metil-cloro-isotiazolinona/metilisotiazolinona tras quemadura por exposición profesional masiva accidental. Actas Dermo-Sifiliográficas 2011; 102:224-6. [DOI: 10.1016/j.ad.2010.06.029] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2010] [Revised: 04/28/2010] [Accepted: 06/14/2010] [Indexed: 10/18/2022] Open
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46
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Affiliation(s)
- R Rivera
- Hospital Universitario 12 De Octubre, Madrid, España.
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de la Hera I, Chico R, Llamas R, Vanaclocha F. [Linear Darier disease]. Actas Dermosifiliogr 2011; 102:299-301. [PMID: 21288500 DOI: 10.1016/j.ad.2010.07.006] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2010] [Revised: 07/06/2010] [Accepted: 07/08/2010] [Indexed: 11/19/2022] Open
Affiliation(s)
- I de la Hera
- Servicio de Dermatología, Hospital Universitario 12 de Octubre, Madrid, Spain.
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Ribera M, Daudén E, Puig L, Briones VGP, Herranz J, Bordas X, Vanaclocha F. Diseño y validación de un cuestionario para medir la satisfacción con el tratamiento del paciente con psoriasis moderada y grave: estudio NEODERMA. Actas Dermo-Sifiliográficas 2011; 102:28-38. [DOI: 10.1016/j.ad.2010.03.028] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2010] [Accepted: 03/15/2010] [Indexed: 10/18/2022] Open
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49
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Rivera R, García-Doval I, Carretero G, Daudén E, Sánchez-Carazo J, Ferrándiz C, Herrera E, Alsina M, Ferrán M, López-Estebaranz J, Gómez F, Herranz J, Carrascosa J, Vanaclocha F. BIOBADADERM, the Spanish Registry of Adverse Events Associated With Biologic Drugs in Dermatology: First Report. Actas Dermo-Sifiliográficas (English Edition) 2011. [DOI: 10.1016/s1578-2190(11)70770-3] [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: 11/15/2022] Open
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50
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Ribera M, Daudén E, Puig L, García-Patos Briones V, Herranz J, Bordas X, Vanaclocha F. Design and Validation of a Questionnaire to Measure Treatment Satisfaction in Patients With Moderate-to-Severe Psoriasis: the NEODERMA Study. Actas Dermo-Sifiliográficas (English Edition) 2011. [DOI: 10.1016/s1578-2190(11)70750-8] [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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