PMID- 27720274 OWN - NLM STAT- MEDLINE DCOM- 20170427 LR - 20240426 IS - 1097-6787 (Electronic) IS - 0190-9622 (Print) IS - 0190-9622 (Linking) VI - 76 IP - 2 DP - 2017 Feb TI - Tumor necrosis factor-alpha inhibitor-induced psoriasis: Systematic review of clinical features, histopathological findings, and management experience. PG - 334-341 LID - S0190-9622(16)30631-4 [pii] LID - 10.1016/j.jaad.2016.08.012 [doi] AB - BACKGROUND: Tumor necrosis factor-alpha (TNF-alpha) inhibitors have been reported to induce new-onset psoriasis. OBJECTIVE: To better define the demographic, clinical features, and treatment approach of TNF-alpha inhibitor-induced psoriasis. METHODS: Systematic review of published cases of TNF-alpha inhibitor-induced psoriasis. RESULTS: We identified 88 articles with 216 cases of new-onset TNF-alpha inhibitor-induced psoriasis. The mean age at psoriasis onset was 38.5 years. The most common underlying diseases were Crohn disease (40.7%) and rheumatoid arthritis (37.0%). Patients underwent TNF-alpha therapy for an average of 14.0 months before psoriasis onset with 69.9% of patients experiencing onset within the first year. The majority of patients received skin-directed therapy, though patients who discontinued TNF therapy had the greatest resolution of symptoms (47.7%) compared with those who switched to a different TNF agent (36.7%) or continued therapy (32.9%). LIMITATIONS: Retrospective review that relies on case reports and series. CONCLUSION: While TNF-alpha inhibitor cessation may result in resolution of induced psoriasis, lesions may persist. Decisions regarding treatment should be weighed against the treatability of TNF-alpha inhibitor-induced psoriasis, the severity of the background rheumatologic or gastrointestinal disease, and possible loss of efficacy with cessation followed by retreatment. Skin-directed therapy is a reasonable initial strategy except in severe cases. CI - Copyright (c) 2016 American Academy of Dermatology, Inc. Published by Elsevier Inc. All rights reserved. FAU - Brown, Gabrielle AU - Brown G AD - Department of Dermatology, University of California, San Francisco, California. FAU - Wang, Eva AU - Wang E AD - Department of Dermatology, University of California, San Francisco, California. FAU - Leon, Argentina AU - Leon A AD - Department of Dermatology, University of California, San Francisco, California. FAU - Huynh, Monica AU - Huynh M AD - Department of Dermatology, University of California, San Francisco, California. FAU - Wehner, Mackenzie AU - Wehner M AD - Department of Dermatology, University of California, San Francisco, California. FAU - Matro, Rebecca AU - Matro R AD - Department of Gastroenterology, University of California, San Francisco, California. FAU - Linos, Eleni AU - Linos E AD - Department of Dermatology, University of California, San Francisco, California. FAU - Liao, Wilson AU - Liao W AD - Department of Dermatology, University of California, San Francisco, California. FAU - Haemel, Anna AU - Haemel A AD - Department of Dermatology, University of California, San Francisco, California. Electronic address: Anna.Haemel@ucsf.edu. LA - eng GR - K08 AR057763/AR/NIAMS NIH HHS/United States GR - K08 CA155035/CA/NCI NIH HHS/United States GR - KL2 TR000143/TR/NCATS NIH HHS/United States GR - R01 AR065174/AR/NIAMS NIH HHS/United States PT - Journal Article PT - Review PT - Systematic Review DEP - 20161005 PL - United States TA - J Am Acad Dermatol JT - Journal of the American Academy of Dermatology JID - 7907132 RN - 0 (Tumor Necrosis Factor-alpha) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Aged, 80 and over MH - Child MH - Drug Eruptions/diagnosis/*etiology/therapy MH - Female MH - Humans MH - Male MH - Middle Aged MH - Psoriasis/*chemically induced/diagnosis/therapy MH - Tumor Necrosis Factor-alpha/*antagonists & inhibitors MH - Young Adult PMC - PMC11042689 MID - NIHMS821456 OTO - NOTNLM OT - adalimumab OT - adverse event OT - certolizumab OT - etanercept OT - golimumab OT - infliximab OT - medication side effect OT - psoriasis OT - tumor necrosis factor-alpha inhibitor OT - tumor necrosis factor-alpha-induced psoriasis COIS- Conflict of Interest Disclosure: The authors do not report any conflicts of interest. EDAT- 2016/10/11 06:00 MHDA- 2017/04/28 06:00 PMCR- 2024/04/24 CRDT- 2016/10/11 06:00 PHST- 2015/10/29 00:00 [received] PHST- 2016/08/02 00:00 [revised] PHST- 2016/08/04 00:00 [accepted] PHST- 2016/10/11 06:00 [pubmed] PHST- 2017/04/28 06:00 [medline] PHST- 2016/10/11 06:00 [entrez] PHST- 2024/04/24 00:00 [pmc-release] AID - S0190-9622(16)30631-4 [pii] AID - 10.1016/j.jaad.2016.08.012 [doi] PST - ppublish SO - J Am Acad Dermatol. 2017 Feb;76(2):334-341. doi: 10.1016/j.jaad.2016.08.012. Epub 2016 Oct 5.