Evidence map›Paper›PMID 38850287›Full record

SynthesisArchives of dermatological research2024

Antistreptococcal treatment of psoriasis: a systematic review.

Beau Sitton, Trent Walker, Rohan Mital, Vamsi Varra, Jessica Kaffenberger

Abstract readSystematic Review
In one paragraph

Synthesis in Archives of dermatological research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Beau SittonDepartment of Dermatology, The Ohio State University Wexner Medical Center, 540 Officenter Center Place, Suite 240, Columbus, OH, 43230, USA.
Trent WalkerDepartment of Dermatology, The Ohio State University Wexner Medical Center, 540 Officenter Center Place, Suite 240, Columbus, OH, 43230, USA.
Rohan MitalDepartment of Dermatology, The Ohio State University Wexner Medical Center, 540 Officenter Center Place, Suite 240, Columbus, OH, 43230, USA.
Vamsi VarraDepartment of Dermatology, The Ohio State University Wexner Medical Center, 540 Officenter Center Place, Suite 240, Columbus, OH, 43230, USA.
Jessica KaffenbergerDepartment of Dermatology, The Ohio State University Wexner Medical Center, 540 Officenter Center Place, Suite 240, Columbus, OH, 43230, USA. Jessica.Kaffenberger@osumc.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Streptococcal infections may contribute to psoriasis development, and antistreptococcal treatments are considered potential therapies, but their effectiveness remains uncertain due to limited systematic evidence. Our objective was to analyze antistreptococcal therapies' effectiveness in improving psoriasis. We conducted a systematic review following PRISMA guidelines, evaluating antistreptococcal treatment efficacy in psoriasis patients from PubMed, Scopus, and Embase databases until August 14, 2022. Eligible studies included psoriasis patients undergoing antistreptococcal therapy, regardless of demographics or psoriasis type. 50 studies (1778 patients) were analyzed, with penicillins/aminopenicillins as the most studied antibiotics (21 studies), showing mixed outcomes, some reporting significant improvement in guttate psoriasis, while others showed no significant difference. Rifampin demonstrated positive results in most of ten studies, and macrolides showed varying effectiveness in two studies. Tonsillectomy in 14 studies (409 patients) mainly focusing on guttate and chronic plaque psoriasis showed positive outcomes, indicating improved symptoms and quality of life. Limitations include heterogeneous studies, sampling bias, and quality of evidence. This systematic review reveals limited and varied evidence for systemic antibiotic therapy efficacy in psoriasis treatment, while tonsillectomy emerges as a potentially beneficial antistreptococcal option, urging further well-designed, controlled studies with larger sample sizes and standardized protocols for better comparisons.

Indexed as

Anti-Bacterial AgentsPsoriasisStreptococcal InfectionsHumansPenicillinsQuality of LifeRifampinTreatment OutcomeAnti-Bacterial AgentsPenicillinsRifampinGuttate psoriasisPsoriasisStreptococcusTonsillectomy

Identifiers

PMID38850287
PMCPMC11162370

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.