Volume 2025, Issue 1 2370807
Review Article
Open Access

Biological Agents for Psoriasis Management in HIV-Positive Patients: A Literature Review

Miaoqi Qiu

Miaoqi Qiu

Department of Dermatology , The Fourth Affiliated Hospital , Zhejiang University School of Medicine , Yiwu , 322000 , China , zju.edu.cn

International Institutes of Medicine , Zhejiang University School of Medicine , Yiwu , 322000 , China , zju.edu.cn

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Bo Feng

Bo Feng

Department of Dermatology , The Fourth Affiliated Hospital , Zhejiang University School of Medicine , Yiwu , 322000 , China , zju.edu.cn

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Chengyao Zhu

Chengyao Zhu

Department of Dermatology , The Fourth Affiliated Hospital , Zhejiang University School of Medicine , Yiwu , 322000 , China , zju.edu.cn

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Lunfei Liu

Corresponding Author

Lunfei Liu

Department of Dermatology , The Fourth Affiliated Hospital , Zhejiang University School of Medicine , Yiwu , 322000 , China , zju.edu.cn

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First published: 06 January 2025
Academic Editor: Yung-Tsu Cho

Abstract

The management of HIV-positive psoriasis patients places a heavy burden on the healthcare system, as there are no standard treatment regimens for these patients and the use of biologics has only been reported sporadically. Here, we conducted a systematic review over the past six years and identified 22 articles containing 34 patients treated with inhibitors against tumor necrosis factor alpha (TNF-α), interleukin (IL)-12/23, IL-17, or IL-23. Our analysis focuses on the effectiveness and safety profile of biological agents, highlighting IL-23 inhibitor’s superior clinical response and tolerability for plaque psoriasis in concomitant HIV-positive patients. Therefore, we suggest IL-23 inhibitor as a promising treatment option for moderate-to-severe psoriasis in HIV-positive patients.

Conflicts of Interest

The authors declare no conflicts of interest.

Data Availability Statement

The data that support the findings of this study are openly available in [PubMed] at https://pubmed.ncbi.nlm.nih.gov/, reference number [148].

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