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Effects of brodalumab on psoriasis and depressive symptoms in patients with insufficient response to TNF-a inhibitors
Univ Gothenburg, Sweden; Sahlgrens Univ Hosp, Sweden; Sahlgrens Univ Hosp, Sweden.
Linköping University, Department of Biomedical and Clinical Sciences, Division of Cell Biology. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Medicine Center, Department of Dermatology and Venerology.
Linköping University, Department of Biomedical and Clinical Sciences, Division of Cell Biology. Linköping University, Faculty of Medicine and Health Sciences.ORCID iD: 0000-0002-2045-7142
Malarsjukhuset, Sweden.
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2023 (English)In: Journal of dermatology (Print), ISSN 0385-2407, E-ISSN 1346-8138Article in journal (Refereed) Epub ahead of print
Abstract [en]

The objective of this study was to evaluate emotions of depression and anxiety in psoriatic patients that due to insufficient response to tumor necrosis factor-alpha inhibition (TNF-alpha), underwent a treatment switch from TNF-alpha to interleukin 17 inhibition using brodalumab. The Self-rated Montgomery-Asberg Depression Rating Scale and the Hospital Anxiety and Depression Scale were used to assess depression and anxiety. A total of 20 patients with psoriasis were enrolled in the study. They were monitored for a period of 3 months following the transition to brodalumab treatment. The results showed a significant improvement in both the Psoriasis Area and Severity Index as well as symptoms of depression; anxiety symptoms showed a reduction, though not statistically significant. Perhaps of more interest, the positive effects on depression and anxiety seem to be independent of the reduction in skin related psoriatic lesions. These findings highlight the importance of addressing depressive and anxiety symptoms, together with psoriasis severity and quality of life, when managing patients with psoriasis.

Place, publisher, year, edition, pages
WILEY , 2023.
Keywords [en]
anxiety; brodalumab; depression; IL-17 inhibitor; psoriasis
National Category
Nursing
Identifiers
URN: urn:nbn:se:liu:diva-198803DOI: 10.1111/1346-8138.16917ISI: 001080672000001PubMedID: 37650150OAI: oai:DiVA.org:liu-198803DiVA, id: diva2:1808096
Note

Funding Agencies|The authors thank, Lena Mattson, Filippos Giannopoulos and Marta Laskowski (Sahlgrenska University Hospital, Department of Dermatology and Venereology, Gothenburg, Sweden), for their help in the conduct of the study.

Available from: 2023-10-30 Created: 2023-10-30 Last updated: 2023-10-30

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