Biological Agents for Psoriasis Management in HIV-Positive Patients: A Literature Review
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
Search for more papers by this authorBo Feng
Department of Dermatology , The Fourth Affiliated Hospital , Zhejiang University School of Medicine , Yiwu , 322000 , China , zju.edu.cn
Search for more papers by this authorChengyao Zhu
Department of Dermatology , The Fourth Affiliated Hospital , Zhejiang University School of Medicine , Yiwu , 322000 , China , zju.edu.cn
Search for more papers by this authorCorresponding Author
Lunfei Liu
Department of Dermatology , The Fourth Affiliated Hospital , Zhejiang University School of Medicine , Yiwu , 322000 , China , zju.edu.cn
Search for more papers by this authorMiaoqi 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
Search for more papers by this authorBo Feng
Department of Dermatology , The Fourth Affiliated Hospital , Zhejiang University School of Medicine , Yiwu , 322000 , China , zju.edu.cn
Search for more papers by this authorChengyao Zhu
Department of Dermatology , The Fourth Affiliated Hospital , Zhejiang University School of Medicine , Yiwu , 322000 , China , zju.edu.cn
Search for more papers by this authorCorresponding Author
Lunfei Liu
Department of Dermatology , The Fourth Affiliated Hospital , Zhejiang University School of Medicine , Yiwu , 322000 , China , zju.edu.cn
Search for more papers by this authorAbstract
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.
Open Research
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 [1–48].
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