PMID- 16409917 OWN - NLM STAT- MEDLINE DCOM- 20060809 LR - 20151119 IS - 1087-2108 (Electronic) IS - 1087-2108 (Linking) VI - 11 IP - 3 DP - 2005 Dec 1 TI - Sustained effects of low dose infliximab in combination with methotrexate in the management of chronic recalcitrant psoriasis. PG - 21 AB - Psoriasis is a chronic inflammatory skin disease whose pathogenesis is modulated by numerous genetic and immunologic factors. During the last decade, our understanding of the pathophysiology of psoriasis has significantly improved, and the disease is now accepted as a T-cell mediated process. This concept has dramatically altered the approach to the treatment of psoriasis. Tumor necrosis factor-alpha (TNF-alpha) is one of the key chemokines in the pathophysiology of psoriasis and its expression is notably increased in psoriatic plaques. Infliximab is a chimeric anti-TNF-alpha monoclonal antibody that binds to both transmembrane and soluble TNF-alpha with high affinity, specificity, and avidity. Presented here is a severe recalcitrant case of psoriasis with sustained benefit from low-dose infliximab in combination with methotrexate. FAU - Zargari, Omid AU - Zargari O AD - Department of Dermatology, Guilan University of Medical Sciences, Rasht, Iran. ozargari@iranderma.com LA - eng PT - Case Reports PT - Journal Article DEP - 20051201 PL - United States TA - Dermatol Online J JT - Dermatology online journal JID - 9610776 RN - 0 (Antibodies, Monoclonal) RN - 0 (Immunosuppressive Agents) RN - 0 (Tumor Necrosis Factor-alpha) RN - B72HH48FLU (Infliximab) RN - YL5FZ2Y5U1 (Methotrexate) SB - IM MH - Adult MH - Antibodies, Monoclonal/*administration & dosage MH - Chronic Disease MH - Drug Therapy, Combination MH - Female MH - Humans MH - Immunosuppressive Agents/*administration & dosage MH - Infliximab MH - Methotrexate/*administration & dosage MH - Psoriasis/*drug therapy MH - Tumor Necrosis Factor-alpha/*antagonists & inhibitors EDAT- 2006/01/18 09:00 MHDA- 2006/08/10 09:00 CRDT- 2006/01/18 09:00 PHST- 2006/01/18 09:00 [pubmed] PHST- 2006/08/10 09:00 [medline] PHST- 2006/01/18 09:00 [entrez] PST - epublish SO - Dermatol Online J. 2005 Dec 1;11(3):21.