PMID- 30958710 OWN - NLM STAT- MEDLINE DCOM- 20201030 LR - 20201030 IS - 1471-1753 (Electronic) IS - 0954-6634 (Linking) VI - 31 IP - 7 DP - 2020 Nov TI - Long-term effects of biologic therapies on peripheral blood eosinophils in patients with psoriasis: a 3-year single-center study. PG - 702-706 LID - 10.1080/09546634.2019.1605139 [doi] AB - Background: Biologic therapies (BTs), etanercept, infliximab, adalimumab, and ustekinumab, are generally well-tolerated and safe agents in psoriasis management.Objectives: To determine the overall effect of BTs on peripheral blood eosinophil count (PBEc) and percentage (PBEp), peripheral blood basophil count (PBBc) and percentage (PBBp), white blood cell count (WBCc), erythrocyte sedimentation rate (ESR), and serum C-reactive protein (s-CRP) level during a 3-year follow-up in patients with psoriasis.Methods: This retrospective cohort study included 200 patients (116 men; 84 women) treated continuously with BTs for 3 years for plaque-type, pustular, or nail psoriasis. Patient data were reviewed from medical charts. During routine laboratory investigation at baseline and every 3 months thereafter up to 3 years, the PBEp, PBEc, PBBp, PBBc, WBCc, ESR, and s-CRP level were monitored. Generalized estimating equations were used to compare consecutive data.Results: Seventy patients received infliximab (35%); 34 (17%), etanercept; 44 (22%), adalimumab; and 52 (26%), ustekinumab. The mean PBEp and PBEc significantly increased starting from 3 months after BT (both p<.001). The mean PBEp and PBEc significantly increased during follow-up compared with the baseline values (PBEp (%): 1.49 +/- 0.1 (1st month) vs. 2.29 +/- 0.14 (3rd month), p<.001 and 1.49 +/- 0.1 (1st month) vs. 2.17 +/- 0.18 (36th month), p=.004; PBEc (x10(3)/microL): 115.80 +/- 6.32 (1st month) vs. 174.9 +/- 10.08 (3rd month), p<.001 and 115.80 +/- 6.32 (1st month) vs. 162.9 +/- 12.86 (36th month), p<.001). However, the mean PBBp, PBBc, WBCc, ESR, and s-CRP level did not change significantly.Conclusions: The PBEc and PBEp increase with BTs up to 3 years in patients with psoriasis. This increase is observed at as early as 3 months of BT and maintained thereafter. FAU - Akdogan, Neslihan AU - Akdogan N AUID- ORCID: 0000-0002-1137-5399 AD - Department of Dermatology and Venereology, School of Medicine, Hacettepe University, Ankara, Turkey. FAU - Dogan, Sibel AU - Dogan S AUID- ORCID: 0000-0002-5383-6886 AD - Department of Dermatology and Venereology, School of Medicine, Hacettepe University, Ankara, Turkey. FAU - Atakan, Nilgun AU - Atakan N AUID- ORCID: 0000-0003-3700-514X AD - Department of Dermatology and Venereology, School of Medicine, Hacettepe University, Ankara, Turkey. LA - eng PT - Journal Article DEP - 20190501 PL - England TA - J Dermatolog Treat JT - The Journal of dermatological treatment JID - 8918133 RN - B72HH48FLU (Infliximab) RN - FU77B4U5Z0 (Ustekinumab) RN - FYS6T7F842 (Adalimumab) RN - OP401G7OJC (Etanercept) SB - IM MH - Adalimumab/pharmacology/therapeutic use MH - Adult MH - *Biological Therapy MH - Eosinophils/*drug effects MH - Etanercept/pharmacology/therapeutic use MH - Female MH - Humans MH - Infliximab/pharmacology/therapeutic use MH - Longitudinal Studies MH - Male MH - Middle Aged MH - Psoriasis/blood/drug therapy/*immunology MH - Retrospective Studies MH - Ustekinumab/pharmacology/therapeutic use OTO - NOTNLM OT - Psoriasis OT - biologics OT - eosinophil EDAT- 2019/04/09 06:00 MHDA- 2020/10/31 06:00 CRDT- 2019/04/09 06:00 PHST- 2019/04/09 06:00 [pubmed] PHST- 2020/10/31 06:00 [medline] PHST- 2019/04/09 06:00 [entrez] AID - 10.1080/09546634.2019.1605139 [doi] PST - ppublish SO - J Dermatolog Treat. 2020 Nov;31(7):702-706. doi: 10.1080/09546634.2019.1605139. Epub 2019 May 1.