Successful Treatment of Pediatric Generalized Pustular Psoriasis with Secukinumab.

IF 1.9 4区 医学 Q3 DERMATOLOGY Clinical, Cosmetic and Investigational Dermatology Pub Date : 2025-01-16 eCollection Date: 2025-01-01 DOI:10.2147/CCID.S493665
Keyi Yu, Huaye Bao, Xingang Wu
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Abstract

Generalized Pustular Psoriasis (GPP) is a rare, severe, life-threatening form of psoriasis and often resistant to conventional systemic therapy. It can be induced by deficiency of interleukin (IL)-36 receptor antagonist. Treatment of patients with GPP is often difficult, and there is no consensus on the best options available to date. However, multiple biologics approved for use in plaque-type psoriasis have also been used in GPP. Here, we report a 6-year-old boy with GPP who was misdiagnosed with AGEP and was treated with corticosteroids but did not respond well. He showed significant improvement following secukinumab treatment. Our case report indicates that IL-17A inhibition as a promising therapeutic option for pediatric GPP without combination with other systemic agents.

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Secukinumab成功治疗小儿广泛性脓疱性银屑病
广泛性脓疱性牛皮癣(GPP)是一种罕见的,严重的,危及生命的牛皮癣形式,通常抵抗传统的全身治疗。它可由缺乏白细胞介素-36受体拮抗剂引起。GPP患者的治疗通常很困难,迄今为止对最佳选择没有达成共识。然而,批准用于斑块型银屑病的多种生物制剂也已用于GPP。在这里,我们报告了一名6岁的GPP男孩,他被误诊为AGEP,并接受了皮质类固醇治疗,但效果不佳。他在接受secukinumab治疗后表现出显著改善。我们的病例报告表明,IL-17A抑制是一种有希望的治疗小儿GPP的选择,无需与其他全身药物联合。
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来源期刊
CiteScore
2.80
自引率
4.30%
发文量
353
审稿时长
16 weeks
期刊介绍: Clinical, Cosmetic and Investigational Dermatology is an international, peer-reviewed, open access journal that focuses on the latest clinical and experimental research in all aspects of skin disease and cosmetic interventions. Normal and pathological processes in skin development and aging, their modification and treatment, as well as basic research into histology of dermal and dermal structures that provide clinical insights and potential treatment options are key topics for the journal. Patient satisfaction, preference, quality of life, compliance, persistence and their role in developing new management options to optimize outcomes for target conditions constitute major areas of interest. The journal is characterized by the rapid reporting of clinical studies, reviews and original research in skin research and skin care. All areas of dermatology will be covered; contributions will be welcomed from all clinicians and basic science researchers globally.
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