Evidence map›Paper›PMID 40093023›Full record

SynthesisFrontiers in medicine2025

Efficacy and safety of small molecule drugs in the treatment of pityriasis rubra pilaris-A systematic review.

Xiaofang Zhang, Kebo Wei, Hongxia Song, Xi Chen, Jiao Yang, Jianmei Zhao, Yugu Jiang, Xin He

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

8 authors.

Xiaofang ZhangDepartment of Dermatology, Sichuan Mianyang 404 Hospital, Mianyang, Sichuan, China.
Kebo WeiDepartment of Dermatology, Sichuan Mianyang 404 Hospital, Mianyang, Sichuan, China.
Hongxia SongDepartment of Dermatology, Sichuan Mianyang 404 Hospital, Mianyang, Sichuan, China.
Xi ChenDepartment of Dermatology, Sichuan Mianyang 404 Hospital, Mianyang, Sichuan, China.
Jiao YangDepartment of Dermatology, Sichuan Mianyang 404 Hospital, Mianyang, Sichuan, China.
Jianmei ZhaoDepartment of Dermatology, Sichuan Mianyang 404 Hospital, Mianyang, Sichuan, China.
Yugu JiangDepartment of Dermatology, Hospital of Chengdu University of TCM, Chengdu, Sichuan, China.
Xin HeDepartment of Dermatology, Chengdu Integrated TCM and Western Medicine Hospital, Chengdu, Sichuan, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Pityriasis rubra pilaris is a chronic, scaly, keratotic skin disease, mainly manifested as scaly plaques and keratinized hair follicles. This condition significantly impacts the patient's quality of life and is considered one of the intractable diseases in dermatology. Currently, no satisfactory clinical treatment options are available for this condition, presenting a considerable challenge for dermatologists. We conducted this systematic evaluation to assess the therapeutic potential of existing small molecule drugs for this disease. Objectives: To conduct a systematic review of the existing literature on the use of small molecule drugs for treating pityriasis rubra pilaris and to evaluate their clinical effectiveness and safety. Methods: We conducted a systematic review of all the literature on small molecule drugs for the treatment of Pityriasis rubra pilaris and searched several databases until November 2024, including PubMed, Embase, Web of Science, and the Cochrane Library. Results: A total of 16 patients with pityriasis rubra pilaris from 11 publications were included. The small molecule drugs, including apremilast, upadacitinib, abrocitinib, and tofacitinib, demonstrate good efficacy and safety in the treatment of pityriasis rubra pilaris across all ages, particularly in patients who have failed systemic therapy and have a poor response to biological agents. However, the conclusions are limited by the small sample size and need to be further confirmed through large-scale randomized controlled clinical trials. Conclusion: Small molecule drugs demonstrate favorable clinical efficacy and safety in the treatment of refractory pityriasis rubra pilaris, exhibiting a relatively rapid onset and a high safety profile. However, the findings in the literature may be affected by publication bias.

Indexed as

efficacy and safetJanus kinase (JAK) inhibitorsPDE-4 inhibitorpityriasis rubra pilarissmall molecule drugssystematic review

Identifiers

PMID40093023
PMCPMC11907769

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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.