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Treatment of Psoriasis with Efalizumab in Patients with Hepatitis C Viral Infection: Report of Five Cases. Dermatology (Basel, Switzerland) [Dermatology] Journal article

 
TitleTreatment of Psoriasis with Efalizumab in Patients with Hepatitis C Viral Infection: Report of Five Cases.
Author(s)Gisondi P, Prignano F, Grossi P, Lotti T, Girolomoni G 
InstitutionSection of Dermatology and Venereology, Department of Biomedical and Surgical Sciences, University of Verona, Verona, Italy.
SourceDermatology 2009 Jun 9.
AbstractBackground: Concomitant hepatitis C virus infection (HCV) needs caution when selecting systemic treatments in psoriasis patients as some agents confer a risk of liver toxicity and/or are immunosuppressant. Phototherapy may provide a therapeutic choice but it is not always a practical option. Limited evidence supports the use of cyclosporine or TNF-alpha blockers. No data are available concerning the safety of efalizumab in patients with HCV infection.
Objective: To describe the clinical characteristics and evolution of 5 adult patients with severe chronic plaque psoriasis and concomitant HCV infection who were treated with efalizumab. Method: A retrospective clinical case report.
Results: Five adult patients with severe chronic plaque psoriasis and concomitant HCV infection were treated successfully using efalizumab with no increased viral replication and progression of liver disease for a follow-up of 8-20 months.
Conclusion: Although further confirmation is needed, this report provides preliminary evidence to support also a cautious use of efalizumab in patients with HCV infection.
LanguageENG
Pub Type(s)JOURNAL ARTICLE
PubMed ID19506351
  
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