Evidence map›Paper›PMID 40117644›Full record

ArticleDermatology practical & conceptual2025

Real-Life Analysis of Therapeutic Management and Its Correlation with the Dermatology Life Quality Index Score in 108 Patients with Pustular Psoriasis: An Italian Monocenter Study.

Dario Buononato, Emanuele Scala, Pierfrancesco Benvenuto, Stefano Caccavale, Eugenia Veronica Di Brizzi, Roberta Di Caprio, Giuseppe Argenziano, Anna Balato

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Article in Dermatology practical & conceptual, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Dario BuononatoUnit of Dermatology, University of Campania "Luigi Vanvitelli", Naples, Italy.
Emanuele ScalaDivision of Dermatology and Venereology, Department of Medicine Solna, and Center for Molecular Medicine, Karolinska Institutet, Stockholm, Sweden.
Pierfrancesco BenvenutoUnit of Dermatology, University of Campania "Luigi Vanvitelli", Naples, Italy.
Stefano CaccavaleUnit of Dermatology, University of Campania "Luigi Vanvitelli", Naples, Italy.
Eugenia Veronica Di BrizziUnit of Dermatology, University of Campania "Luigi Vanvitelli", Naples, Italy.
Roberta Di CaprioUnit of Dermatology, University of Campania "Luigi Vanvitelli", Naples, Italy.
Giuseppe ArgenzianoUnit of Dermatology, University of Campania "Luigi Vanvitelli", Naples, Italy.
Anna BalatoUnit of Dermatology, University of Campania "Luigi Vanvitelli", Naples, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPustular psoriasis (PP) is a rare life-threatening skin disease with negatively impact on quality of life (QoL). Clinically, it may be systemic (generalized pustular psoriasis [GPP]) or localized on palms and soles (palmoplantar pustulosis [PPP]). It is not rare to observe plaque psoriasis associated with GPP.

objectivesWe explored the therapies used for PP and their correlation with patient QoL scores, through a cross-sectional study using retrospective data from a monocentric database in the period 2017-2021.

methodsPatient characteristics were summarized using descriptive statistics and treatment predictors of QoL were identified by multiple regression analysis. Among 108 patients with PP, 57.4% had GPP + PSO whereas 42.6% had PPP. The therapeutic management is based on systemic conventional treatments and biological therapies in both GPP and PPP.

resultsGPP + PSO patients with an impaired QoL (DLQI≥10) were associated with biological therapy including certolizumab (odds ratio [OR]=2.38), etanercept (OR=2.25), secukinumab (OR=2.03) or ustekinumab (OR=2.79) whereas, PPP patients were positively associated with secukinumab (OR=2.85) or apremilast (OR 4.28, 95%-CI 0.56-9.62).

conclusionsCurrently, systemic conventional therapy remains the therapeutic fulcrum of PP management. A great effect on QoL, especially for GPP+PSO, was assessed regardless the ongoing treatment and only newer biologic options were able to somehow positively impact.

Identifiers

PMID40117644
PMCPMC11928116

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