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<rss version="2.0"><channel><title>Neue Studien: Europe PMC</title><link>https://www.psoriasis-news.de/articles.html/1_articles/page/14/?d=1</link><description>Neue Studien: Europe PMC</description><language>de</language><item><title>Biosimilars for the Treatment of Moderate to Severe Chronic Plaque Psoriasis.</title><link>https://www.psoriasis-news.de/articles.html/1_articles/biosimilars-for-the-treatment-of-moderate-to-severe-chronic-plaque-psoriasis-r229/</link><description><![CDATA[Psoriasis is an immune-mediated chronic inflammatory skin disease affecting over 60 million adults and children worldwide and can occur at any age, from childhood to adulthood. If the patient has a diffuse form of psoriasis, affecting more than ten percent of the body surface, or involving sensitive areas such as the face, scalp, nails, and/or palmoplantar region, he or she is a candidate for systemic therapy. Currently, several drugs are approved for the treatment of moderate to severe chronic plaque psoriasis in Europe and US. These are classified into conventional systemics, biologics, and small molecules. These immunomodulatory agents are available in different forms of administration, such as oral, subcutaneous, and intravenous. Novel treatments, including biologics and small molecules, can provide reliable disease control with a good safety profile even in the long term and have greatly improved the quality of life for many patients. Nevertheless, biologics can be expensive, placing a significant burden on national healthcare systems and creating a barrier to access for patients in need of these life-changing therapies. A biosimilar drug is a biologic medical product that is highly similar to an already approved reference biologic drug (also known as the originator). Biosimilars have no clinically meaningful differences in terms of safety, purity, and efficacy compared to the reference product. Biosimilar drugs have been on the market-and therefore in clinical practice-for several years now, helping to overcome these challenges. Biosimilars have the potential to improve access to biologic therapies for psoriasis while reducing healthcare costs. The aim of this narrative review is to describe biosimilars and the potential cost-saving benefits their use can offer. In this review, we will discuss adalimumab, infliximab, etanercept, and ustekinumab, as well as their corresponding biosimilars.<p><a href="http://europepmc.org/article/MED/40860251?source=rss" rel="external nofollow">Weiterlesen</a></p>]]></description><guid isPermaLink="false">229</guid><pubDate>Wed, 03 Sep 2025 07:11:26 +0000</pubDate></item><item><title>What Is the Diagnostic Capacity of Existing Severity Scoring Tools for Nail Psoriasis?</title><link>https://www.psoriasis-news.de/articles.html/1_articles/what-is-the-diagnostic-capacity-of-existing-severity-scoring-tools-for-nail-psoriasis-r228/</link><description><![CDATA[It is challenging to distinguish nail psoriasis (NP) from nonspecific nail changes, contributing to heterogeneity in clinical trials. Existing scoring tools for NP are currently used to assess severity after diagnosis is established. The aim of this study is to evaluate the diagnostic performance of two of these severity scoring tools. A cohort study was conducted with psoriasis patients and matched controls. Fingernails were scored using the Nail Psoriasis Severity Index (NAPSI) and the Nijmegen-Nail Psoriasis Activity Index Tool (N-NAIL). To determine their diagnostic properties, cutoff values were established. Receiver operating characteristic (ROC) curves were constructed, and sensitivity and specificity were calculated for various cutoff points. The best cutoff value was chosen based on the Youden Index and clinical reasoning. In total, 104 psoriasis patients were included, of which 68 were clinically diagnosed with NP. For the N-NAIL, a cutoff value of 2 showed the best accuracy in the psoriasis population (sensitivity = 83.8% and specificity = 83.3%) and the general population (sensitivity = 83.8% and specificity = 67.3%). For the NAPSI, a cutoff value of 7 showed the best accuracy in the psoriasis population (sensitivity = 80.9% and specificity = 69.4%), while a cutoff value of 10 was optimal in the general population (sensitivity = 72.1% and specificity = 70.2%). Both N-NAIL and NAPSI provide accurate cutoff values in a psoriasis population. Therefore, these scoring tools may not only be used to assess severity but also in clinical trials for the inclusion of NP patients in a psoriasis population to create homogeneity between studies. We prefer using the N-NAIL, with a cutoff value of 2, because it showed better accuracy compared to the NAPSI.<p><a href="http://europepmc.org/article/MED/40849831?source=rss" rel="external nofollow">Weiterlesen</a></p>]]></description><guid isPermaLink="false">228</guid><pubDate>Wed, 03 Sep 2025 07:11:26 +0000</pubDate></item><item><title>Mitochondrial sirtuins 3, 4 and 5 in patients with psoriasis.</title><link>https://www.psoriasis-news.de/articles.html/1_articles/mitochondrial-sirtuins-3-4-and-5-in-patients-with-psoriasis-r227/</link><description><![CDATA[Psoriasis is one of the most common chronic inflammatory skin diseases and is characterised by the uncontrolled proliferation of keratinocytes and their abnormal differentiation. Sirtuins are a group of enzymes that play an important role in post-translational modifications of proteins, such as deacetylation, poly-ADP-ribosylation, demalonylation and lipoamidation. They are found in various cell types and are involved in ribosomal DNA recombination, gene silencing and DNA repair. This study aimed to examine the plasma levels of sirtuin 3, 4 and 5 in patients with psoriasis and correlate these levels with clinical parameters. The study included 43 patients with plaque-type psoriasis and 28 healthy controls. The plasma concentrations of sirtuin 3 were statistically significantly increased in patients with psoriasis compared to the control subjects. The plasma concentrations of sirtuin 4 and 5 were statistically significantly lower in patients with psoriasis than in the control group. No statistically significant correlations were found between the plasma levels of sirtuin 3 and 4 and the psoriasis activity tools of PASI, DLQI and the BSA index or the selected clinical parameters in patients with psoriasis. Plasma concentrations of sirtuin 5 correlated statistically significantly with the BSA index, haemoglobin and leukocytes. The results of this study suggest the involvement of sirtuin 3, 4 and 5 in the pathogenesis of psoriasis. However, an explanation of the role of sirtuins in psoriasis requires further research.<p><a href="http://europepmc.org/article/MED/40850958?source=rss" rel="external nofollow">Weiterlesen</a></p>]]></description><guid isPermaLink="false">227</guid><pubDate>Wed, 03 Sep 2025 07:11:26 +0000</pubDate></item><item><title>Successful guselkumab treatment for a psoriasis patient experiencing an adrenal crisis: a case report.</title><link>https://www.psoriasis-news.de/articles.html/1_articles/successful-guselkumab-treatment-for-a-psoriasis-patient-experiencing-an-adrenal-crisis-a-case-report-r226/</link><description><![CDATA[Prolonged glucocorticoid therapy may lead to adrenal insufficiency (AI) or even adrenal crisis (AC) due to suppression of the hypothalamic-pituitary-adrenal (HPA) axis. This case report describes a male patient with psoriasis who had received long-term irregular glucocorticoid therapy for psoriasis management. Following an upper respiratory tract infection, the patient developed generalized skin lesions accompanied by systemic symptoms including abdominal pain, vomiting, fatigue, fever, and lethargy. After multiple misdiagnoses, the patient was ultimately diagnosed with psoriasis complicated by AC. The patient was subjected to guselkumab combined with glucocorticoid therapy for the treatment of psoriasis and AC. After 6 months, complete resolution of skin lesions was achieved, and adrenal function returned to normal. Dermatologists should be aware of the potential for AI when prescribing glucocorticoids (topical or systemic) to treat psoriasis. Guselkumab represents a viable therapeutic option for psoriasis patients with concurrent AI/AC.<p><a href="http://europepmc.org/article/MED/40856381?source=rss" rel="external nofollow">Weiterlesen</a></p>]]></description><guid isPermaLink="false">226</guid><pubDate>Wed, 03 Sep 2025 06:53:32 +0000</pubDate></item><item><title>The Skin-Brain Axis in Psoriasis and Depression: Roles of Inflammation, Hormones, Neuroendocrine Pathways, Neuropeptides, and the Microbiome.</title><link>https://www.psoriasis-news.de/articles.html/1_articles/the-skin-brain-axis-in-psoriasis-and-depression-roles-of-inflammation-hormones-neuroendocrine-pathways-neuropeptides-and-the-microbiome-r225/</link><description><![CDATA[Psoriasis, a common chronic inflammatory skin disease affecting approximately 2-3% of the global population, frequently co-occurs with depression. This highly prevalent comorbidity significantly impairs patients' quality of life. Despite the substantial physical and mental health burden imposed by psoriatic depression, the underlying pathophysiological mechanisms connecting psoriasis and depression remain poorly understood. In this review, we explored several pathological processes that may contribute to psoriasis-associated depression, including immune cells dysregulations, hormones imbalances, hypothalamic-pituitary-adrenal (HPA) axis dysfunctions, neuropeptides expression abnormalities, and gut dysbiosis. The primary purpose of this review was to present a comprehensive overview of the pathogenic mechanisms linking psoriasis and depression. These insights may guide trans-disciplinary interventions aimed at both skin and mood symptoms.<p><a href="http://europepmc.org/article/MED/40860250?source=rss" rel="external nofollow">Weiterlesen</a></p>]]></description><guid isPermaLink="false">225</guid><pubDate>Wed, 03 Sep 2025 06:53:32 +0000</pubDate></item><item><title>Toward Harmonized Recommendations for Psoriatic Arthritis: A Comparative Viewpoint on Global Guidelines.</title><link>https://www.psoriasis-news.de/articles.html/1_articles/toward-harmonized-recommendations-for-psoriatic-arthritis-a-comparative-viewpoint-on-global-guidelines-r224/</link><description><![CDATA[<h4>Objective</h4>Psoriatic arthritis (PsA) guidelines aim to provide consistent, evidence-based recommendations. Multiple regional guidelines exist, often based on similar evidence but with different methodologies and contexts. Our aim was to compare recent PsA treatment guidelines from the American College of Rheumatology, Group for Research and Assessment of Psoriasis and Psoriatic Arthritis, European Alliance of Associations for Rheumatology, and Pan American League of Associations for Rheumatology, identifying similarities, differences, and opportunities for global harmonization with regional adaptation.<h4>Methods</h4>Narrative comparative review of guideline documents published between 2018 and 2024 by major rheumatology societies was performed. Data on methodology, panel composition, treatment domains, pharmacologic recommendations, and update strategies were extracted and synthesized.<h4>Results</h4>Guidelines share core principles, including domain-based approaches, treat-to-target strategies, and the use of conventional synthetic disease-modifying antirheumatic drugs and biologics. Differences arise from methodological frameworks (eg, GRADE [Grading of Recommendations Assessment, Development, and Evaluation], domain-based, adolopment), stakeholder composition, and explicit consideration of regional drug access.<h4>Conclusion</h4>A hybrid framework combining global core recommendations with modular regional adaptations may optimize resource use, improve guideline sustainability, and maintain local relevance. Living systematic reviews and artificial intelligence could support more timely updates.<p><a href="http://europepmc.org/article/MED/40750315?source=rss" rel="external nofollow">Weiterlesen</a></p>]]></description><guid isPermaLink="false">224</guid><pubDate>Wed, 03 Sep 2025 06:53:32 +0000</pubDate></item><item><title>Long-term Safety and Efficacy of Ixekizumab in Patients With Moderate to Severe Psoriasis &#x2013; a Systematic Review of Randomised Controlled Trials</title><link>https://www.psoriasis-news.de/articles.html/1_articles/long-term-safety-and-efficacy-of-ixekizumab-in-patients-with-moderate-to-severe-psoriasis-a-systematic-review-of-randomised-controlled-trials-r223/</link><description><![CDATA[Abstract  <p>Background This systematic review evaluates the efficacy, safety, and tolerability of ixekizumab (IXE), an anti-IL 17A monoclonal antibody, in treating moderate to severe psoriasis. Methods A comprehensive search of PubMed and Scopus using the terms ‘ixekizumab’ and ‘psoriasis’ was conducted. This study was registered in PROSPERO (CRD42024539975) and followed the PRISMA guidelines for reporting systematic reviews. Inclusion criteria encompassed randomised clinical trials assessing the efficacy and safety/tolerability of ixekizumab for moderate-to-severe psoriasis, published from inception until April 2024. Case reports, conference papers, and observational studies were excluded. A total of 5 studies (6 randomised controlled trials) with 4705 participants met the selection criteria out of 1172 search results. The risk of bias was assessed among the selected studies using the RoBViS tool. Results The standardised dosing regimen of ixekizumab demonstrated superior efficacy compared to placebo in improving Psoriasis Area and Severity Index (PASI) from baseline and Static Physician Global Assessment (sPGA) across most of the included studies. No significant difference in efficacy was observed when comparing ixekizumab with ustekinumab in a survey conducted by Reich et al. Most adverse events were mild, although some serious ones were reported. Conclusion Ixekizumab, a monoclonal antibody approved for treating moderate to severe psoriasis, exhibits a superior safety profile comparable to other biologics used in psoriasis. However, its widespread usage in psoriasis is still relatively less than conventional non-selective immunomodulatory agents.</p><p><a href="http://europepmc.org/article/PPR/PPR1073301?source=rss" rel="external nofollow">Weiterlesen</a></p>]]></description><guid isPermaLink="false">223</guid><pubDate>Wed, 03 Sep 2025 06:53:32 +0000</pubDate></item><item><title>Relative sensitivity and preference of indicators in pharmaceutical trials of psoriasis and psoriatic arthritis.</title><link>https://www.psoriasis-news.de/articles.html/1_articles/relative-sensitivity-and-preference-of-indicators-in-pharmaceutical-trials-of-psoriasis-and-psoriatic-arthritis-r222/</link><description><![CDATA[Numerous indicators have been proposed to evaluate the efficacy for randomized clinical trials (RCTs) of psoriasis (Pso) and psoriatic arthritis (PsA), but their comparability and correlation remain unknown. We aim to evaluate the preference and relative sensitivity of the most widely used indicators that report response rate, and to offer guidance for the primary endpoint selection for Pso and PsA trials. We conducted a systematic search, including five databases and four registries, to identify all pharmacological intervention-controlled RCTs. A Bayesian hierarchical linear mixed model was employed to assess relative discriminations and provide a ranking of these indicators. This model, considered the gold standard for sparse and heterogeneous data, was applied to estimate differences between control and intervention groups and assess the preference and relative sensitivity of outcome indicators in Pso and PsA. Altogether, 386 RCTs met our inclusion criteria. We included 9 and 8 commonly used response rate indicators for Pso and PsA trials, respectively, all of which were treated as primary endpoints. We found evidence of significant differences among indicators. PASI 50, PASI 75 and IGA 0,1 proved to be robust indicators for assessing pharmacological efficacy in the majority of RCTs of Pso. Conversely, PASI 125, DIQI 0,1 and NRS-4 were not preferred under different circumstances. Furthermore, PASI 50, PASI 75 and PASI 90 appeared to be highly effective in almost all categories of pharmacological RCTs of PsA. However, due to their extreme sensitivity, it was advisable to use ACR 20 to prevent an overestimation of the therapeutic benefits of interventions. ACR 50, ACR 70 and MDA were less sensitive, but they were supposed to be more cautious in evaluating disease changing. The choice of indicators was slightly influenced by disease severity, intervention type and administration method. The notable efficacy discrimination ability of indicators underscores the importance of flexibility and comprehensiveness in selecting primary outcome(s). Our findings provide practical implications for optimizing indicator selection in future trial design, ensuring better alignment with trial objectives and disease characteristics. PROSPERO number: CRD42022337725.<p><a href="http://europepmc.org/article/MED/40855452?source=rss" rel="external nofollow">Weiterlesen</a></p>]]></description><guid isPermaLink="false">222</guid><pubDate>Wed, 03 Sep 2025 06:53:32 +0000</pubDate></item><item><title>Trifolirhizin improves the hyperproliferation and excessive inflammatory response in human HaCaT keratinocytes and ameliorates skin lesions in psoriasis-like mouse models.</title><link>https://www.psoriasis-news.de/articles.html/1_articles/trifolirhizin-improves-the-hyperproliferation-and-excessive-inflammatory-response-in-human-hacat-keratinocytes-and-ameliorates-skin-lesions-in-psoriasis-like-mouse-models-r221/</link><description><![CDATA[Keratinocyte hyperproliferation and excessive inflammatory responses are associated with psoriasis pathogenesis. Trifolirhizin has anti-inflammatory and anti-proliferation effects. The purpose of the study was to investigate the role of trifolirhizin in psoriasis-like skin lesions and its molecular mechanism. Imiquimod-induced psoriasis-like mouse models were treated with trifolirhizin. Skin lesions and inflammatory factors were assessed. In vitro, human HaCaT keratinocytes were stimulated by a mixture of interleukin (IL)-1α, IL-17, IL-22, tumor necrosis factor (TNF)-α, and oncostatin M (M5) to establish a psoriatic keratinocyte model. Cell viability and cycle were assessed via CCK-8 assay and flow cytometry. Inflammatory factors, autophagy levels, and AMPK-mTOR pathway activation were detected by western blot. Trifolirhizin dose-dependently inhibited epidermal layer erythema, scaling, and thickening and reduced epidermal thickness and IL-12 level in an imiquimod-induced psoriasis-like mouse model. Trifolirhizin also inhibited cell viability, PCNA expression, and excessive synthesis and secretion of IL-8 and IL-12 in HaCaT keratinocytes induced by M5. Furthermore, the inhibition of autophagy and AMPK-mTOR pathway could be reversed by trifolirhizin in M5-induced HaCaT keratinocytes and skin lesions from imiquimod-mediated psoriasis-like mouse model. The improvement effects of trifolirhizin could be inhibited by the autophagy inhibitor chloroquine. Trifolirhizin up-regulated autophagy through the AMPK-mTOR pathway, improved the hyperproliferation and excessive inflammatory responses of keratinocytes, thus alleviating psoriatic skin lesions. Trifolirhizin may have therapeutic potential in improving the progression of psoriasis.<p><a href="http://europepmc.org/article/MED/40862458?source=rss" rel="external nofollow">Weiterlesen</a></p>]]></description><guid isPermaLink="false">221</guid><pubDate>Wed, 03 Sep 2025 06:53:32 +0000</pubDate></item><item><title>Efficacy of risankizumab across GRAPPA domains in psoriatic arthritis: a pooled analysis of patients from the phase 3 KEEPsAKE 1 and 2 studies.</title><link>https://www.psoriasis-news.de/articles.html/1_articles/efficacy-of-risankizumab-across-grappa-domains-in-psoriatic-arthritis-a-pooled-analysis-of-patients-from-the-phase-3-keepsake-1-and-2-studies-r220/</link><description><![CDATA[To assess the efficacy of long-term treatment with risankizumab across the updated Group for Research and Assessment of Psoriasis and Psoriatic Arthritis (GRAPPA) domains and key related conditions of psoriatic arthritis (PsA). This post hoc analysis primarily used data from the phase 3 KEEPsAKE 1 trial of adult patients with PsA, with data from KEEPsAKE 2 pooled for prespecified outcomes. Outcomes measuring risankizumab efficacy across key GRAPPA-recognised domains of PsA (peripheral arthritis, enthesitis, dactylitis, skin and nail psoriasis, axial disease) and PsA-related conditions such as inflammatory bowel disease (IBD) and uveitis were assessed over 100 weeks of treatment (~2 years). Statistical approaches included non-responder imputation (as-observed with imputation) for categorical variables and mixed-effect model for repeated measures for continuous variables including as-observed measurements at all visits. PsA-related conditions were evaluated via adverse events through 100 weeks. Overall, in KEEPsAKE 1 and KEEPsAKE 2, 412/483 (85.3%) and 181/224 (80.8%) of patients randomised to risankizumab completed treatment to week 100. Risankizumab demonstrated efficacy across all GRAPPA-defined domains through 100 weeks, including swollen and tender joint counts, enthesitis, dactylitis, skin and nail outcomes, and axial disease. In KEEPsAKE 1, 42.4% of patients had achieved a Disease Activity in Psoriatic Arthritis measurement of low disease activity and 62.9% had reached a minimal clinically important difference in pain at week 100. Rates of new onset or flare of IBD and uveitis were low. Treatment with risankizumab provides durable improvement in the signs and symptoms of PsA across all GRAPPA disease domains and related conditions.<p><a href="http://europepmc.org/article/MED/40854810?source=rss" rel="external nofollow">Weiterlesen</a></p>]]></description><guid isPermaLink="false">220</guid><pubDate>Wed, 03 Sep 2025 06:53:32 +0000</pubDate></item><item><title>Association Between Alcohol Consumption and Psoriasis: Exploratory Analysis of Crowdsourced Web Search Data in Sweden.</title><link>https://www.psoriasis-news.de/articles.html/1_articles/association-between-alcohol-consumption-and-psoriasis-exploratory-analysis-of-crowdsourced-web-search-data-in-sweden-r219/</link><description><![CDATA[The nature of the relationship between psoriasis and alcohol consumption has been the topic of discussion for many years. Some studies have found that a higher intake of alcohol may be associated with a more severe manifestation of the disease. At the same time, patients with psoriasis often demonstrate elevated levels of alcohol consumption. It has not yet been fully established whether alcohol abuse serves as a trigger for psoriasis or if patients with psoriasis are simultaneously more prone to alcohol abuse. The objective of this study was to employ Google Trends as a tool for crowdsourcing data on a national level to explore the relationship between psoriasis and the consumption of alcohol in Sweden. This study examines crowdsourced web search data related to psoriasis and other skin disease-related search terms (such as utslag [rash]) as well as search interest in different types of alcohol. The analysis covers a 5-year period from 2018 to 2023 in Sweden, focusing on search behavior and correlations across this period. The search behavior regarding psoriasis and alcohol-related search terms showed seasonal variations throughout the year. The relative search volume for psoriasis peaked in February, while alcohol-related searches, particularly Systembolaget and vodka, peaked in December and June. Our statistical analysis revealed relationships between the search interest regarding psoriasis and terms related to alcohol consumption, with disparities between different types of alcohol. The term "psoriasis" was negatively correlated with "Systembolaget" (r=-0.210), "vitt vin" (r=-0.224), and "vodka" (r=-0.220) (all P&lt;.001), while the term "utslag" showed positive correlations with these same alcohol-related terms (r=0.278-0.347; P&lt;.001). Crowdsourced data can offer valuable insights into population-level behavior. The observed negative correlations between psoriasis and alcohol-related searches suggest complex interactions, possibly reflecting reduced disease awareness or care during periods of higher alcohol consumption. The direction and strength of the correlations with psoriasis were not consistent across the different types of alcohol investigated in this study, which poses the question whether the relationship might be influenced by the type of beverage consumed. Further research is warranted to explore underlying mechanisms and validate these findings in clinical populations.<p><a href="http://europepmc.org/article/MED/40865089?source=rss" rel="external nofollow">Weiterlesen</a></p>]]></description><guid isPermaLink="false">219</guid><pubDate>Wed, 03 Sep 2025 06:53:32 +0000</pubDate></item><item><title>Validation of Turkish psoriatic arthritis screening tool for psoriatic arthritis: A cross-sectional comparative study</title><link>https://www.psoriasis-news.de/articles.html/1_articles/validation-of-turkish-psoriatic-arthritis-screening-tool-for-psoriatic-arthritis-a-cross-sectional-comparative-study-r218/</link><description><![CDATA[<small>No abstract supplied.</small><p><a href="http://europepmc.org/article/PMC/PMC12401259?source=rss" rel="external nofollow">Weiterlesen</a></p>]]></description><guid isPermaLink="false">218</guid><pubDate>Wed, 03 Sep 2025 06:53:32 +0000</pubDate></item><item><title>Network pharmacology and Mendelian randomization analysis of Xiao Bi decoction in treating psoriasis</title><link>https://www.psoriasis-news.de/articles.html/1_articles/network-pharmacology-and-mendelian-randomization-analysis-of-xiao-bi-decoction-in-treating-psoriasis-r217/</link><description><![CDATA[<small>No abstract supplied.</small><p><a href="http://europepmc.org/article/PMC/PMC12401393?source=rss" rel="external nofollow">Weiterlesen</a></p>]]></description><guid isPermaLink="false">217</guid><pubDate>Wed, 03 Sep 2025 06:53:32 +0000</pubDate></item><item><title>Generalized Pustular Psoriasis</title><link>https://www.psoriasis-news.de/articles.html/1_articles/generalized-pustular-psoriasis-r216/</link><description><![CDATA[Pustular psoriasis is a rare and severe variant of psoriasis characterized by the eruption of sterile pustules, which may present in distinct clinical patterns. The pathologic features of psoriasis, including keratinocyte hyperproliferation, neutrophilic infiltration, and immune dysregulation, are markedly accentuated. Generalized pustular psoriasis (GPP) displays clinical heterogeneity in age of onset, severity, and disease course. Several overlapping phenotypes are recognized. A variable relationship exists between GPP and plaque psoriasis. Some individuals experience plaque psoriasis before or after GPP episodes, while others exhibit GPP as the sole phenotype without any history of plaque involvement (see Image. Pustular Psoriasis).<p><a href="http://europepmc.org/article/MED/29630241?source=rss" rel="external nofollow">Weiterlesen</a></p>]]></description><guid isPermaLink="false">216</guid><pubDate>Sun, 24 Aug 2025 17:56:41 +0000</pubDate></item><item><title>Composite Outcome Measures for Psoriatic Arthritis: Project Updates 2024.</title><link>https://www.psoriasis-news.de/articles.html/1_articles/composite-outcome-measures-for-psoriatic-arthritis-project-updates-2024-r215/</link><description><![CDATA[J Rheumatol 2025; doi: 10.3899/jrheum.2025-0268 The affiliation for Tommy Kok Annfeldt should be Section for Biostatistics and Evidence-Based Research, The Parker Institute, Bispebjerg and Frederiksberg Hospital, Copenhagen, Denmark. This correction applies only to the August 5 First Release. The correct affiliation appears in the print and online issues. doi: 10.3899/jrheum.2025-0268.C1.<p><a href="http://europepmc.org/article/MED/40841134?source=rss" rel="external nofollow">Weiterlesen</a></p>]]></description><guid isPermaLink="false">215</guid><pubDate>Sun, 24 Aug 2025 17:56:41 +0000</pubDate></item><item><title>Causal Effect of Plasma Fatty Acid Profiles on Psoriasis Risk: Genetic Evidence from a Mendelian Randomization Study.</title><link>https://www.psoriasis-news.de/articles.html/1_articles/causal-effect-of-plasma-fatty-acid-profiles-on-psoriasis-risk-genetic-evidence-from-a-mendelian-randomization-study-r214/</link><description><![CDATA[Emerging evidence indicates that omega-3 fatty acids from fish oil may serve as beneficial dietary supplements for psoriasis management. Clinical observations demonstrate a significant association between psoriasis improvement and increased docosahexaenoic acid (DHA) levels. However, the causal relationship between fatty acids and psoriasis risk requires further investigation. Using summary-level genome-wide association study (GWAS) data, we applied univariable (UVMR), reverse, and multivariable (MVMR) Mendelian randomization analyses to assess causal effects of multiple fatty acids-including polyunsaturated (PUFA), saturated (SFA), monounsaturated (MUFA), omega-3/6 fatty acids, DHA, eicosapentaenoate (EPA) and docosapentaenoate (DPA)-on psoriasis risk. The analysis revealed that higher circulating levels of omega-3 fatty acids were significantly associated with a reduced risk of psoriasis development (UVMR: OR = 0.900, p = 0.022; MVMR: OR = 0.862, p = 0.007). Sensitivity analyses supported the robustness of this causal relationship, with consistent effects across multiple MR methods. Notably, DHA (UVMR: OR = 0.788, p = 0.006; MVMR: OR = 0.856, p = 0.021) drove this inverse association, while EPA and DPA showed marginal contributions. This study provides valuable insights for targeted nutritional strategies to prevent and manage psoriasis, but further validation is needed.<p><a href="http://europepmc.org/article/MED/40843457?source=rss" rel="external nofollow">Weiterlesen</a></p>]]></description><guid isPermaLink="false">214</guid><pubDate>Sun, 24 Aug 2025 17:56:41 +0000</pubDate></item><item><title>Characterising Alternative Diagnoses to Psoriatic Arthritis in a Rheumatology-Dermatology Combined Clinic.</title><link>https://www.psoriasis-news.de/articles.html/1_articles/characterising-alternative-diagnoses-to-psoriatic-arthritis-in-a-rheumatology-dermatology-combined-clinic-r213/</link><description><![CDATA[Psoriatic arthritis (PsA) is a chronic inflammatory arthritis involving axial and peripheral joints and tendons that affects a subset of patients with psoriasis (PsO). PsA can be a debilitating disease and warrants prompt rheumatologic evaluation and management. The diagnosis of PsA can be challenging for the practising dermatologist as there is often an overlap in the symptoms of PsA and non-inflammatory musculoskeletal conditions such as osteoarthritis, tendonitis and myofascial pain. The primary aim of the study is to examine psoriasis patients seen at our tertiary institution's combined rheum-derm clinic for a concern for PsA, specifically examining the revised diagnosis and the joint symptom similarities to psoriatic arthritis. We performed a retrospective chart review of patients referred to the rheumatology-dermatology clinic (RDC) at our institution between November 2019 and March 2022. Our review included 242 patients, of which 34 (14%) were psoriasis patients specifically referred due to suspicion for PsA. Each patient underwent a comprehensive rheumatic evaluation, including history, physical examination, laboratory tests and imaging as needed. Fourteen (41.2%) of the 34 patients referred for suspected PsA were diagnosed with non-inflammatory musculoskeletal conditions, primarily mechanical joint pain. Stiffness and/or swelling were significantly more common among patients with confirmed PsA. These findings underscore the importance of thorough evaluation of musculoskeletal symptoms, particularly stiffness and swelling, in patients with psoriasis. Improving education on distinguishing non-inflammatory musculoskeletal conditions may enhance diagnostic accuracy and optimise referral practices.<p><a href="http://europepmc.org/article/MED/40838311?source=rss" rel="external nofollow">Weiterlesen</a></p>]]></description><guid isPermaLink="false">213</guid><pubDate>Sun, 24 Aug 2025 17:56:41 +0000</pubDate></item><item><title>Clinical efficacy of 308&#xA0;nm excimer laser irradiation combined with 0.1% tacrolimus ointment in the treatment of plaque-type psoriasis.</title><link>https://www.psoriasis-news.de/articles.html/1_articles/clinical-efficacy-of-308%C2%A0nm-excimer-laser-irradiation-combined-with-01-tacrolimus-ointment-in-the-treatment-of-plaque-type-psoriasis-r212/</link><description><![CDATA[Plaque psoriasis is an immune-mediated chronic recurrent skin disease. In recent years, 308 nm excimer laser (308 nm EL) and topical tacrolimus have been widely used to treat psoriasis. The purpose of this study was to evaluate the efficacy of 308 nm EL irradiation combined with 0.1% tacrolimus ointment in the treatment of plaque psoriasis. This study was a retrospective observational study involving 100 patients with plaque psoriasis, divided into two groups: the control group (50 cases) was treated with 0.1% tacrolimus ointment; the observation group (50 cases) was treated with 308 nm EL and 0.1% tacrolimus ointment. After eight weeks of treatment, the psoriasis area and severity index (PASI) of the two groups were compared, and the occurrence of adverse reactions during treatment was recorded. Before treatment, there was no significant difference in PASI scores between the two groups (p &gt; 0.05). However, the PASI scores of the two groups were significantly lower after treatment than before treatment, and the PASI scores of the observation group after treatment were lower than those of the control group (p &lt; 0.05). No serious adverse reactions occurred in either group. 308 nm EL irradiation combined with 0.1% tacrolimus ointment could be considered a safe and effective method for the treatment of plaque psoriasis, which can significantly reduce the PASI score and is more effective than the use of 0.1% tacrolimus ointment alone, and it is expected to be popularized in the clinic.<p><a href="http://europepmc.org/article/MED/40844632?source=rss" rel="external nofollow">Weiterlesen</a></p>]]></description><guid isPermaLink="false">212</guid><pubDate>Sun, 24 Aug 2025 17:56:41 +0000</pubDate></item><item><title>Beyond Skin Clearance: Personalized Strategies for DLQI Improvement in Psoriasis -Insights From a Shanghai Prospective Cohort.</title><link>https://www.psoriasis-news.de/articles.html/1_articles/beyond-skin-clearance-personalized-strategies-for-dlqi-improvement-in-psoriasis-insights-from-a-shanghai-prospective-cohort-r211/</link><description><![CDATA[<h4>Introduction</h4>Psoriasis is a chronic immune-mediated disease that significantly impacts patients clinically and psychologically. Physician-assessed severity measures, including Psoriasis Area and Severity Index (PASI), Body Surface Area (BSA), and Physician Global Assessment (PGA), often fail to capture patient-reported outcomes, particularly when clinical improvement and perceived quality-of-life gains are misaligned.<h4>Purpose</h4>To clarify the association between clinical improvements and Dermatology Life Quality Index (DLQI) outcomes, identify predictors of substantial DLQI improvement (≥90% reduction), and explore reasons for suboptimal DLQI responses in patients achieving skin clearance.<h4>Methods</h4>In this 12-week prospective study, 551 psoriasis patients were enrolled at Shanghai Skin Diseases Hospital. Data on demographics, clinical severity (PASI, BSA, and PGA), DLQI scores, and treatment modalities were collected. Logistic regression analyses were employed to assess the dose-response relationships between improvements in clinical parameters and DLQI reduction, and to identify factors of suboptimal DLQI improvement among patients achieving significant skin clearance.<h4>Results</h4>Median DLQI improved significantly (8.0 to 3.0) at week 12, with 24.1% of patients achieving ≥90% DLQI reduction. Strong dose-response associations existed between clinical severity improvements (PASI, BSA, PGA) and DLQI gains. PASI<sub>75</sub> responders were significantly more likely to achieve substantial DLQI improvement (OR = 2.48, 95% CI: 1.51-4.07). However, only 33.3% of PASI<sub>75</sub> achievers reached ≥90% DLQI improvement. Early clinical response (as early as week 4) strongly predicted superior DLQI outcomes. Female sex, older age, lower baseline DLQI scores, and shorter disease duration were associated with achieving high skin clearance but suboptimal DLQI improvement.<h4>Conclusion</h4>Early clinical response effectively predicts substantial DLQI improvement, whereas demographic and disease-related factors help identify patients at risk for suboptimal quality-of-life gains despite significant skin clearance. These insights support personalized therapeutic strategies aimed at improving patient satisfaction beyond skin clearance alone.<p><a href="http://europepmc.org/article/MED/40827128?source=rss" rel="external nofollow">Weiterlesen</a></p>]]></description><guid isPermaLink="false">211</guid><pubDate>Sat, 23 Aug 2025 09:33:52 +0000</pubDate></item><item><title>GLP-1 receptor agonists: emerging therapeutic potential in psoriasis management - current evidence and future outlook.</title><link>https://www.psoriasis-news.de/articles.html/1_articles/glp-1-receptor-agonists-emerging-therapeutic-potential-in-psoriasis-management-current-evidence-and-future-outlook-r210/</link><description><![CDATA[Psoriasis is a chronic inflammatory skin disease driven by immune dysregulation and often exacerbated by metabolic comorbidities. Glucagon-like peptide-1 receptor agonists (GLP-1RAs), initially developed for type 2 diabetes mellitus (T2DM) and weight management, have emerged as a promising treatment due to their anti-inflammatory and immunomodulatory properties. This review evaluates the clinical efficacy, mechanisms of action, and limitations of GLP-1RAs, such as liraglutide, exenatide, and semaglutide, in the management of psoriasis. A comprehensive literature review was conducted, including evidence from case reports, randomized controlled trials, prospective cohorts, and experimental studies, to assess the role of GLP-1RAs in psoriasis treatment. Evidence suggests that GLP-1RAs mitigate psoriasis severity through systemic effects, including weight loss and improved glycemic control, and local immunomodulation, such as the regulation of invariant natural killer T (iNKT) cells and AMPK activation in psoriatic plaques. These benefits are particularly notable in patients with coexisting metabolic conditions. However, the existing evidence is limited by small cohort sizes, heterogeneous patient populations, and confounding effects of concurrent therapies, limiting its generalizability. GLP-1RAs offer a novel integrative approach to managing psoriasis by targeting both inflammatory and metabolic pathways. Larger, long-term randomized controlled trials are needed to validate their efficacy, optimize dosing, and determine their role as standalone or adjunctive therapies, particularly in patients without metabolic comorbidities.<p><a href="http://europepmc.org/article/MED/40835981?source=rss" rel="external nofollow">Weiterlesen</a></p>]]></description><guid isPermaLink="false">210</guid><pubDate>Sat, 23 Aug 2025 09:18:30 +0000</pubDate></item><item><title>Friend or foe? Sebaceous cyst inflammation during ixekizumab therapy in psoriatic arthritis: case based review.</title><link>https://www.psoriasis-news.de/articles.html/1_articles/friend-or-foe-sebaceous-cyst-inflammation-during-ixekizumab-therapy-in-psoriatic-arthritis-case-based-review-r209/</link><description><![CDATA[Ixekizumab is a monoclonal antibody used in the treatment of moderate-to-severe psoriasis and psoriatic arthritis by targeting interleukin-17 A (IL-17 A). It has demonstrated efficacy in controlling inflammation in autoimmune diseases, though adverse reactions can arise. This case study reports a case of 25-year-old female with psoriatic arthritis undergoing treatment with ixekizumab, who developed acute enlargement and inflammation of a pre-existing sebaceous cyst located posterior to the left auricle, occurring two days after the administration of a routine ixekizumab dose. The present study investigates the potential association between the inflammatory process observed within the cyst and the immunomodulatory mechanisms of ixekizumab. Literature review revealed no prior reports directly linking ixekizumab with sebaceous cyst inflammation. However, related adverse effects, including paradoxical inflammation, infectious complications, and immune dysregulation have been described in patients treated with IL-17 A inhibitors. These include IBD exacerbation, eczematous eruptions, paradoxical psoriasis, and rare systemic complications, suggesting broader immunological effects of IL-17 blockade.<p><a href="http://europepmc.org/article/MED/40794191?source=rss" rel="external nofollow">Weiterlesen</a></p>]]></description><guid isPermaLink="false">209</guid><pubDate>Sat, 23 Aug 2025 09:18:30 +0000</pubDate></item><item><title>Association between metabolic score for visceral fat and psoriasis: findings from NHANES.</title><link>https://www.psoriasis-news.de/articles.html/1_articles/association-between-metabolic-score-for-visceral-fat-and-psoriasis-findings-from-nhanes-r208/</link><description><![CDATA[<h4>Background</h4>Psoriasis is a persistent inflammatory skin condition. Several studies have revealed that obesity significantly contributes to both the initiation and advancement of psoriasis. The metabolic score for visceral fat (METS-VF) represents an innovative measure designed to forecast visceral obesity, integrating factors such as insulin resistance metabolic score, waist-to-hip ratio (WHR), age, and gender. The present study aimed to investigate the association between METS-VF and psoriasis prevalence, using information gathered from the National Health and Nutrition Examination Survey (NHANES).<h4>Methods</h4>This study utilized the data from a nationally representative cohort of 8023 adults from NHANES from 2003-2006 to 2009-2014, of which 234 declared a psoriasis history. Multivariate logistic regression analysis and restricted cubic spline (RCS) analyses were used to investigate the association between METS-VF and psoriasis, followed by subgroup analysis to identify populations that may exhibit higher sensitivity.<h4>Results</h4>After adjusting for confounding variables, the results of the multivariate logistic regression analysis showed a significant positive association between METS-VF and the risk of psoriasis. One-unit increasement in METS-VF corresponded to a 47% rise in psoriasis risk (odds ratio [OR] = 1.47, 95% confidence interval [CI] = 1.10-1.96). Finally, the results were uniform across all subgroups (P <sub>for interaction </sub>&gt; 0.05). The results from the RCS analysis indicated a notable linear association.<h4>Conclusion</h4>This research indicated that elevated levels of METS-VF are linked to a higher occurrence of psoriasis, suggesting the potential of METS-VF as a predictive anthropometric index for assessing the risk of developing psoriasis.<p><a href="http://europepmc.org/article/MED/40796893?source=rss" rel="external nofollow">Weiterlesen</a></p>]]></description><guid isPermaLink="false">208</guid><pubDate>Sat, 23 Aug 2025 09:18:30 +0000</pubDate></item><item><title>Effects of Acute Time-Restricted Eating on Inflammation in Individuals With Psoriasis: Protocol for a Case-Control, Prospective Study.</title><link>https://www.psoriasis-news.de/articles.html/1_articles/effects-of-acute-time-restricted-eating-on-inflammation-in-individuals-with-psoriasis-protocol-for-a-case-control-prospective-study-r207/</link><description><![CDATA[<h4>Background</h4>Psoriasis is a chronic inflammatory disease associated with multiple comorbidities, including metabolic syndrome and cardiovascular disease. Although specific dietary interventions, such as intermittent fasting and caloric restriction, have been shown to ameliorate inflammation and promote weight loss, the effect of these interventions independent of weight loss remains unclear. Time-restricted eating (TRE), a type of intermittent fasting, limits the daily eating window to a fixed number of hours. Recent studies suggest TRE may improve immune function in individuals with metabolic syndrome and cardiovascular risk factors. A crucial advantage of TRE over other investigated dietary restriction strategies is its reported high adherence rate, making it a more feasible intervention for long-term use. Therefore, exploring the effects of TRE on metabolic and immunological parameters in psoriasis is warranted.<h4>Objective</h4>This study was designed to evaluate the effects of short-term, isocaloric TRE, independent of weight loss, on immune cell function and serum metabolite profiles of volunteers with mild-to-moderate psoriasis compared to healthy individuals.<h4>Methods</h4>This case-control, prospective study was performed on 10 healthy male participants and 10 age-, BMI-, and sex-matched individuals with mild-to-moderate psoriasis. All individuals with psoriasis had stable disease and were being treated with topical therapies without any exposure to immunomodulatory biologics. This study was conducted at the National Institutes of Health Clinical Center. Immune profiles, glucose handling, energy expenditure, and participants' weights were assessed at baseline and after 3 days of TRE following a daily 6-hour eating window and 18-hour fast.<h4>Results</h4>The trial commenced in June 2021 and was completed in February 2023. A total of 20 participants were enrolled-10 with mild-to-moderate psoriasis and 10 age-, BMI-, and sex-matched healthy individuals. As of the time of manuscript submission, data processing is ongoing. Multiomic datasets, including gene expression, surface and intracellular protein levels, and metabolite profiles, are being generated from peripheral blood mononuclear cells, CD4<sup>+</sup>-enriched T-cells, and serum samples. The integrated bioinformatics analyses will be reported once the data analysis is completed.<h4>Conclusions</h4>This clinical protocol was designed to characterize the effects of short term (3-day) TRE on psoriasis, independent of weight loss, by comparing immune cell regulatory responses between healthy individuals and those with psoriasis. More specifically, we aim to map the molecular pathways activated by TRE and assess how they affect immune cell composition, activation, and metabolism. Additionally, components of the metabolic response to isocaloric TRE are being explored. Insights into how dietary interventions impact metabolism and the immune system will enhance our understanding of the pathogenesis of psoriasis and may reveal new therapeutic avenues for managing this inflammatory condition.<h4>Trial registration</h4>ClinicalTrials.gov NCT04728165; https://clinicaltrials.gov/study/NCT04728165.<p><a href="http://europepmc.org/article/MED/40815832?source=rss" rel="external nofollow">Weiterlesen</a></p>]]></description><guid isPermaLink="false">207</guid><pubDate>Sat, 23 Aug 2025 09:18:30 +0000</pubDate></item><item><title>JNK/c-Jun cascade activation enhances malignant proliferation of psoriatic keratinocytes by regulating ROS levels and mitochondrial membrane potential.</title><link>https://www.psoriasis-news.de/articles.html/1_articles/jnkc-jun-cascade-activation-enhances-malignant-proliferation-of-psoriatic-keratinocytes-by-regulating-ros-levels-and-mitochondrial-membrane-potential-r206/</link><description><![CDATA[Psoriasis is a chronic immune-mediated skin disorder characterized by excessive keratinocyte proliferation, inflammation, and oxidative stress. This study investigates the role of the JNK/c-Jun cascade in psoriasis pathogenesis, focusing on its impact on keratinocyte proliferation and inflammatory responses. An in vitro psoriasis model was established using M5-stimulated HaCaT keratinocytes, while an in vivo model was created with imiquimod-treated Wistar rats. The results indicated that M5 stimulation significantly enhanced keratinocyte viability and proliferation, as demonstrated by increased optical density, EdU incorporation, and Ki-67 expression. M5 treatment also elevated pro-inflammatory cytokines TNF-α, IL-1β, and IL-6, while inducing oxidative stress through increased ROS production, lipid peroxidation, and mitochondrial membrane potential (MMP) disruption. Blocking the JNK/c-Jun cascade with the SP600125 inhibitor effectively reduced keratinocyte hyperproliferation, cytokine secretion, and oxidative stress, while restoring mitochondrial integrity. In addition, knockdown of Nrf2 suppressed M5-induced ROS generation, inflammatory signaling, and antioxidant enzyme activity. In psoriasis rats, JNK/c-Jun inhibition significantly alleviated skin tissue damage, reducing inflammatory cell infiltration, epidermal hyperkeratosis, and phosphorylation of key inflammatory markers. Correspondingly, serum pro-inflammatory cytokines were decreased, and oxidative stress indices improved. These findings suggest that the JNK/c-Jun cascade plays a central role in psoriasis pathogenesis by regulating keratinocyte proliferation, inflammation, and oxidative stress. Targeting this pathway presents a promising therapeutic strategy for psoriasis treatment. Further studies are warranted to explore upstream regulators and downstream effectors of the JNK/c-Jun signaling pathway.<p><a href="http://europepmc.org/article/MED/40826129?source=rss" rel="external nofollow">Weiterlesen</a></p>]]></description><guid isPermaLink="false">206</guid><pubDate>Sat, 23 Aug 2025 09:18:30 +0000</pubDate></item><item><title>Impact of psoriasis on THA and TKA outcomes: A systematic review.</title><link>https://www.psoriasis-news.de/articles.html/1_articles/impact-of-psoriasis-on-tha-and-tka-outcomes-a-systematic-review-r205/</link><description><![CDATA[Psoriasis is an autoimmune inflammatory condition that often intersects with orthopaedic care due to its connection to psoriatic arthritis. However, not all psoriasis patients develop psoriatic arthritis. Psoriasis patients may undergo hip or knee arthroplasties for reasons unrelated to psoriasis. This condition, marked by inflamed, scaly skin caused by an overactive immune system, may pose challenges for orthopaedic surgeries. This systematic review evaluated outcomes for psoriasis patients after total hip arthroplasty (THA) or total knee arthroplasty (TKA), focusing on postsurgical impact to inform additional considerations for patients. Following PRISMA guidelines, a systematic search was conducted in Medline, Embase, Web of Science, and Cochrane (up to October 2024). Studies involving patients with psoriasis undergoing THA or TKA were analyzed for postoperative outcomes. 359 studies were screened, 7 met inclusion criteria. Two studies focused on THA, three on TKA, and two examined both procedures. Patients with psoriasis undergoing THA showed increased risk of infections compared to non-psoriasis patients. For TKA, results were mixed in whether psoriasis led to higher infection rates. Psoriasis did not lead to increased revisions in both THA and TKA. Additionally, two studies found no significant differences in wound complications in TKA patients. This systematic review underscores the importance of considering post-surgical complications in psoriasis patients undergoing either a THA or TKA. However, lack of research makes it difficult to generalize findings. Psoriasis is an important factor to consider for surgical outcomes, but further research is needed to clarify risks and optimize care for patients.<p><a href="http://europepmc.org/article/MED/40837195?source=rss" rel="external nofollow">Weiterlesen</a></p>]]></description><guid isPermaLink="false">205</guid><pubDate>Sat, 23 Aug 2025 09:18:30 +0000</pubDate></item></channel></rss>
