Biologic therapy and tuberculosis: our experience and review of literature

Caterina Fabroni,1 Angelo Massimiliano D’Erme,2 Torello Lotti3 1Department of Dermatology, Misericordia e Dolce Hospital, Prato, Italy; 2Division of Dermatology, Department of Surgery and Translational Medicine, University of Florence, Florence, Italy; 3Guglielmo Marconi University, Rome,...

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Autores principales: Fabroni C, D'Erme AM, Lotti T
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Lenguaje:EN
Publicado: Dove Medical Press 2013
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spelling oai:doaj.org-article:2f4cd91aaf0b4c7fbfe63d56d3212fb32021-12-02T05:04:06ZBiologic therapy and tuberculosis: our experience and review of literature2230-326Xhttps://doaj.org/article/2f4cd91aaf0b4c7fbfe63d56d3212fb32013-07-01T00:00:00Zhttp://www.dovepress.com/biologic-therapy-and-tuberculosis-our-experience-and-review-of-literat-a13552https://doaj.org/toc/2230-326XCaterina Fabroni,1 Angelo Massimiliano D’Erme,2 Torello Lotti3 1Department of Dermatology, Misericordia e Dolce Hospital, Prato, Italy; 2Division of Dermatology, Department of Surgery and Translational Medicine, University of Florence, Florence, Italy; 3Guglielmo Marconi University, Rome, Italy Abstract: Psoriasis is an inflammatory dermatologic disease that can often involve not only the skin and mucosal surfaces but also the bones and joints. It affects approximately 3% of the world’s population, and has a chronic-relapsing course. The management of psoriasis is often difficult and, particularly in the case of moderate to severe forms, the use of systemic therapies is mandatory. The introduction of biologic drugs has greatly improved our ability to treat psoriasis. However, it is necessary to underline that antitumor necrosis factor-α treatments may reactivate latent tuberculosis infection and cause particularly disseminated or extrapulmonary disease. Physicians should carry out proper screening of patients before starting treatment with antitumor necrosis factor-α, in order to identify individuals with latent tuberculosis infection. We report our experience in this field and review the various existing tests to screen for tuberculosis. Keywords: infliximab, adalimumab, tuberculosis, psoriasisFabroni CD'Erme AMLotti TDove Medical PressarticleDermatologyRL1-803ENPsoriasis: Targets and Therapy, Vol 2013, Iss default, Pp 25-29 (2013)
institution DOAJ
collection DOAJ
language EN
topic Dermatology
RL1-803
spellingShingle Dermatology
RL1-803
Fabroni C
D'Erme AM
Lotti T
Biologic therapy and tuberculosis: our experience and review of literature
description Caterina Fabroni,1 Angelo Massimiliano D’Erme,2 Torello Lotti3 1Department of Dermatology, Misericordia e Dolce Hospital, Prato, Italy; 2Division of Dermatology, Department of Surgery and Translational Medicine, University of Florence, Florence, Italy; 3Guglielmo Marconi University, Rome, Italy Abstract: Psoriasis is an inflammatory dermatologic disease that can often involve not only the skin and mucosal surfaces but also the bones and joints. It affects approximately 3% of the world’s population, and has a chronic-relapsing course. The management of psoriasis is often difficult and, particularly in the case of moderate to severe forms, the use of systemic therapies is mandatory. The introduction of biologic drugs has greatly improved our ability to treat psoriasis. However, it is necessary to underline that antitumor necrosis factor-α treatments may reactivate latent tuberculosis infection and cause particularly disseminated or extrapulmonary disease. Physicians should carry out proper screening of patients before starting treatment with antitumor necrosis factor-α, in order to identify individuals with latent tuberculosis infection. We report our experience in this field and review the various existing tests to screen for tuberculosis. Keywords: infliximab, adalimumab, tuberculosis, psoriasis
format article
author Fabroni C
D'Erme AM
Lotti T
author_facet Fabroni C
D'Erme AM
Lotti T
author_sort Fabroni C
title Biologic therapy and tuberculosis: our experience and review of literature
title_short Biologic therapy and tuberculosis: our experience and review of literature
title_full Biologic therapy and tuberculosis: our experience and review of literature
title_fullStr Biologic therapy and tuberculosis: our experience and review of literature
title_full_unstemmed Biologic therapy and tuberculosis: our experience and review of literature
title_sort biologic therapy and tuberculosis: our experience and review of literature
publisher Dove Medical Press
publishDate 2013
url https://doaj.org/article/2f4cd91aaf0b4c7fbfe63d56d3212fb3
work_keys_str_mv AT fabronic biologictherapyandtuberculosisourexperienceandreviewofliterature
AT damp39ermeam biologictherapyandtuberculosisourexperienceandreviewofliterature
AT lottit biologictherapyandtuberculosisourexperienceandreviewofliterature
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