Outcomes of various types of therapy in patients with treatment-resistant acrodermatitis continua of Hallopeau

LM Smirnova, E Yu Vertieva, O Yu Olisova, EM AnpilogovaDepartment of Dermatology and Venereology, I.M. Sechenov First Moscow State Medical University, Moscow 119991, Russian FederationBackground: Chronic acrodermatitis continua of Hallopeau (ACH) is a rare form of pustular psoriasis predominantly af...

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Autores principales: Smirnova LM, Vertieva EY, Olisova OY, Anpilogova EM
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Lenguaje:EN
Publicado: Dove Medical Press 2019
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spelling oai:doaj.org-article:04f3d29a72cd4cc19f9bf7ba0c5147962021-12-02T07:32:35ZOutcomes of various types of therapy in patients with treatment-resistant acrodermatitis continua of Hallopeau1177-5491https://doaj.org/article/04f3d29a72cd4cc19f9bf7ba0c5147962019-05-01T00:00:00Zhttps://www.dovepress.com/outcomes-of-various-types-of-therapy-in-patients-with-treatment-resist-peer-reviewed-article-BTThttps://doaj.org/toc/1177-5491LM Smirnova, E Yu Vertieva, O Yu Olisova, EM AnpilogovaDepartment of Dermatology and Venereology, I.M. Sechenov First Moscow State Medical University, Moscow 119991, Russian FederationBackground: Chronic acrodermatitis continua of Hallopeau (ACH) is a rare form of pustular psoriasis predominantly affecting the distal phalanges of the fingers and toes. The disease manifests by pustular rash with marked infiltration, fissures, and often results into severe dystrophy of nail plates. ACH is refractory to most of psoriasis standard of care (SOC) therapies.Objective: The objective of this study is to assess the prospects of secukinumab therapy of ACH based on current clinical observation.Methods: We observed a female patient with ACH. Number of SOC treatments were applied in that case including local PUVA therapy, systemic retinoids, methotrexate, and biologic agents.Result: Secukinumab, a IL-17 inhibitor, demonstrated pronounced clinical effect in the case of ACH refractory to other SOC therapies.Conclusion: IL-17 inhibition provided by secukinumab was linked to clinically meaningful improvement in the heavily pretreated ACH. Further exploration and clinical studies may be important to provide more data on secukinumab effects in ACH.Keywords: acrodermatitis continua of Hallopeau, secukinumab, apremilast, anti IL-17A therapy, phosphodiesterase-4Smirnova LMVertieva EYOlisova OYAnpilogova EMDove Medical Pressarticleacrodermatitis continua of Hallopeausecukinumabapremilastanti IL-17A therapyphosphodiesterase-4Medicine (General)R5-920ENBiologics: Targets & Therapy, Vol Volume 13, Pp 83-87 (2019)
institution DOAJ
collection DOAJ
language EN
topic acrodermatitis continua of Hallopeau
secukinumab
apremilast
anti IL-17A therapy
phosphodiesterase-4
Medicine (General)
R5-920
spellingShingle acrodermatitis continua of Hallopeau
secukinumab
apremilast
anti IL-17A therapy
phosphodiesterase-4
Medicine (General)
R5-920
Smirnova LM
Vertieva EY
Olisova OY
Anpilogova EM
Outcomes of various types of therapy in patients with treatment-resistant acrodermatitis continua of Hallopeau
description LM Smirnova, E Yu Vertieva, O Yu Olisova, EM AnpilogovaDepartment of Dermatology and Venereology, I.M. Sechenov First Moscow State Medical University, Moscow 119991, Russian FederationBackground: Chronic acrodermatitis continua of Hallopeau (ACH) is a rare form of pustular psoriasis predominantly affecting the distal phalanges of the fingers and toes. The disease manifests by pustular rash with marked infiltration, fissures, and often results into severe dystrophy of nail plates. ACH is refractory to most of psoriasis standard of care (SOC) therapies.Objective: The objective of this study is to assess the prospects of secukinumab therapy of ACH based on current clinical observation.Methods: We observed a female patient with ACH. Number of SOC treatments were applied in that case including local PUVA therapy, systemic retinoids, methotrexate, and biologic agents.Result: Secukinumab, a IL-17 inhibitor, demonstrated pronounced clinical effect in the case of ACH refractory to other SOC therapies.Conclusion: IL-17 inhibition provided by secukinumab was linked to clinically meaningful improvement in the heavily pretreated ACH. Further exploration and clinical studies may be important to provide more data on secukinumab effects in ACH.Keywords: acrodermatitis continua of Hallopeau, secukinumab, apremilast, anti IL-17A therapy, phosphodiesterase-4
format article
author Smirnova LM
Vertieva EY
Olisova OY
Anpilogova EM
author_facet Smirnova LM
Vertieva EY
Olisova OY
Anpilogova EM
author_sort Smirnova LM
title Outcomes of various types of therapy in patients with treatment-resistant acrodermatitis continua of Hallopeau
title_short Outcomes of various types of therapy in patients with treatment-resistant acrodermatitis continua of Hallopeau
title_full Outcomes of various types of therapy in patients with treatment-resistant acrodermatitis continua of Hallopeau
title_fullStr Outcomes of various types of therapy in patients with treatment-resistant acrodermatitis continua of Hallopeau
title_full_unstemmed Outcomes of various types of therapy in patients with treatment-resistant acrodermatitis continua of Hallopeau
title_sort outcomes of various types of therapy in patients with treatment-resistant acrodermatitis continua of hallopeau
publisher Dove Medical Press
publishDate 2019
url https://doaj.org/article/04f3d29a72cd4cc19f9bf7ba0c514796
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AT olisovaoy outcomesofvarioustypesoftherapyinpatientswithtreatmentresistantacrodermatitiscontinuaofhallopeau
AT anpilogovaem outcomesofvarioustypesoftherapyinpatientswithtreatmentresistantacrodermatitiscontinuaofhallopeau
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