PMID- 32356612 OWN - NLM STAT- MEDLINE DCOM- 20210902 LR - 20210902 IS - 1365-2230 (Electronic) IS - 0307-6938 (Linking) VI - 45 IP - 7 DP - 2020 Oct TI - The risk of interstitial lung disease during biological treatment in Japanese patients with psoriasis. PG - 853-858 LID - 10.1111/ced.14259 [doi] AB - BACKGROUND: With the increasing use of biological agents for the treatment of psoriasis, the numbers of patients with interstitial lung disease (ILD) associated with biologics have also increased. Many of these cases were associated with tumour necrosis factor (TNF)-alpha inhibitors, but cases associated with other families of biologics have also been reported in Japan. AIM: To analyse the background factors of patients who developed ILD, and to discuss better management of biological treatment. METHOD: We reviewed 246 patients with psoriasis who were treated with biological agents in our department to identify any pulmonary adverse events (AEs). Data on patients who developed ILD were extracted to analyse background factors, clinical type of psoriasis, time to onset of ILD, pre-existing ILD, smoking habit and prescribed drugs. RESULTS: Pulmonary AEs were seen in 22 cases, of which 11 were diagnosed as drug-induced ILD. The causative drugs were mainly TNF-alpha inhibitors, accounting for eight cases (six treated with infliximab, two with adalimumab). The remaining three cases were associated with secukinumab, ustekinumab and ixekizumab (n = 1 each). Notably, these three cases also had a history of drug-induced ILD. CONCLUSION: Patients with a history of drug-induced ILD seem to be more susceptible to developing another ILD induced by biologics, even if treated with interleukin-17 inhibitors. Thorough screening of risk factors and evaluation for eligibility, and careful monitoring during treatment are the best solutions to avoid serious pulmonary AE. Early detection and precise diagnosis of pulmonary AEs, especially differentiation from infectious diseases, is essential for managing biological treatment. CI - (c) 2020 British Association of Dermatologists. FAU - Matsumoto, Y AU - Matsumoto Y AUID- ORCID: 0000-0001-7429-5487 AD - Department of Dermatology, Tokyo Medical University, Tokyo, Japan. FAU - Abe, N AU - Abe N AD - Department of Dermatology, Tokyo Medical University, Tokyo, Japan. FAU - Tobita, R AU - Tobita R AD - Department of Dermatology, Tokyo Medical University, Tokyo, Japan. FAU - Kawakami, H AU - Kawakami H AD - Department of Dermatology, Tokyo Medical University, Tokyo, Japan. FAU - Nakayama, H AU - Nakayama H AD - Department of Respiratory Medicine, Tokyo Medical University, Tokyo, Japan. FAU - Setoguchi, Y AU - Setoguchi Y AD - Department of Pulmonology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan. FAU - Tsuboi, R AU - Tsuboi R AD - Department of Dermatology, Tokyo Medical University, Tokyo, Japan. FAU - Okubo, Y AU - Okubo Y AUID- ORCID: 0000-0002-9526-1259 AD - Department of Dermatology, Tokyo Medical University, Tokyo, Japan. LA - eng PT - Journal Article PT - Review DEP - 20200629 PL - England TA - Clin Exp Dermatol JT - Clinical and experimental dermatology JID - 7606847 RN - 0 (Antibodies, Monoclonal, Humanized) RN - 0 (Antirheumatic Agents) RN - 0 (Biological Factors) RN - 0 (MUC1 protein, human) RN - 0 (Mucin-1) RN - 0 (Tumor Necrosis Factor Inhibitors) RN - B72HH48FLU (Infliximab) RN - BTY153760O (ixekizumab) RN - DLG4EML025 (secukinumab) RN - FU77B4U5Z0 (Ustekinumab) RN - FYS6T7F842 (Adalimumab) SB - IM MH - Adalimumab/adverse effects MH - Adult MH - Aged MH - Antibodies, Monoclonal, Humanized/adverse effects MH - Antirheumatic Agents/adverse effects MH - Biological Factors/*adverse effects/therapeutic use MH - Early Diagnosis MH - Female MH - Humans MH - Infliximab/adverse effects MH - Japan/epidemiology MH - Lung Diseases, Interstitial/*chemically induced/epidemiology/prevention & control MH - Male MH - Middle Aged MH - Mucin-1/blood MH - Psoriasis/complications/*drug therapy/pathology MH - Risk Factors MH - Tumor Necrosis Factor Inhibitors/*adverse effects MH - Ustekinumab/adverse effects EDAT- 2020/05/02 06:00 MHDA- 2021/09/03 06:00 CRDT- 2020/05/02 06:00 PHST- 2020/02/12 00:00 [received] PHST- 2020/04/18 00:00 [revised] PHST- 2020/04/21 00:00 [accepted] PHST- 2020/05/02 06:00 [pubmed] PHST- 2021/09/03 06:00 [medline] PHST- 2020/05/02 06:00 [entrez] AID - 10.1111/ced.14259 [doi] PST - ppublish SO - Clin Exp Dermatol. 2020 Oct;45(7):853-858. doi: 10.1111/ced.14259. Epub 2020 Jun 29.