Evidence map›Paper›PMID 41814916›Full record

ArticleActa dermato-venereologica2026

Cutaneous Leishmaniasis in Patients under Biologic Therapies: A Spanish CLINI-AEDV Multicentre Study.

Andrea Ciudad, Ramón M Pujol, Fernándo Gallardo, Miguel Antonio Lasheras-Pérez, Rafael Botella Estrada, Miquel Armengot-Carbó, Verónica Fernández Tapia, Bernat Mas Matas, Amador Solá-Truyols, Álvaro Aguado Vázquez and 18 more

Abstract readMulticenter Study
In one paragraph

Article in Acta dermato-venereologica, 2026. 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

28 authors.

Andrea CiudadServicio de Dermatología, Hospital del Mar, Instituto Hospital del Mar de Investigaciones Médicas (IMIM), Departament de Medicina i Ciències de la Vida (MELIS), Universitat Pompeu Fabra, Barcelona, Spain. andreaciudad33@gmail.com.ORCID 0009-0003-8848-829X
Ramón M PujolServicio de Dermatología, Hospital del Mar, Instituto Hospital del Mar de Investigaciones Médicas (IMIM), Departament de Medicina i Ciències de la Vida (MELIS), Universitat Pompeu Fabra, Barcelona, Spain.
Fernándo GallardoServicio de Dermatología, Hospital del Mar, Instituto Hospital del Mar de Investigaciones Médicas (IMIM), Departament de Medicina i Ciències de la Vida (MELIS), Universitat Pompeu Fabra, Barcelona, Spain.
Miguel Antonio Lasheras-PérezServicio de Dermatología, Hospital Universitario y Politécnico La Fe, Valencia, Spain.
Rafael Botella EstradaServicio de Dermatología, Hospital Universitario y Politécnico La Fe, Valencia, Spain.
Miquel Armengot-CarbóServicio de Dermatología, Hospital General Universitario de Castellón, Castellón de la Plana, Spain.
Verónica Fernández TapiaServicio de Dermatología, Hospital Universitario Son Llàtzer, Palma de Mallorca, Spain.
Bernat Mas MatasServicio de Dermatología, Hospital Universitario Son Llàtzer, Palma de Mallorca, Spain.
Amador Solá-TruyolsServicio de Dermatología, Hospital Universitario Son Llàtzer, Palma de Mallorca, Spain.
Álvaro Aguado VázquezServicio de Dermatología, Hospital Universitario Doctor Peset, Valencia, Spain.
Irene Ballester NortesServicio de Dermatología, Hospital Universitario Morales Meseguer, Murcia, Spain.
Mar Llamas-VelascoServicio de Dermatología, Hospital Universitario La Princesa, Madrid, Spain.
Mireia Esquius RafatServicio de Dermatología, Hospital Universitario Sant Joan de Déu de Manresa, Manresa, Barcelona, Spain.
Irene FuertesServicio de Dermatología, Hospital Universitario Clinic de Barcelona, Barcelona, Spain.
Emili MasferrerServicio de Dermatología, Hospital Universitario de Terrassa, Terrassa, Barcelona, Spain; Universitat Central de Catalunya, Vic, Spain.
Esther Roé CrespoServicio de Dermatología, Hospital Universitario Santa Creu i Sant Pau, Barcelona, Spain.
Diego De la Vega-RuizServicio de Dermatología, Hospital Universitario Fundación Alcorcón, Madrid, Spain.
Vicenç Rocamora DuránServicio de Dermatología, Hospital Universitario de Manacor, Manacor, Islas Baleares, Spain.
Adrián Imbernón-MoyaServicio de Dermatología, Hospital Universitario Severo Ochoa, Leganés, Madrid, Spain.
María Del Mar Blanes MartínezServicio de Dermatología, Hospital General Universitario Dr. Balmis de Alicante, Instituto de Investigación Sanitaria 37 y Biomédica de Alicante (ISABIAL), Alicante, Spain.
Patricia Garbayo-SalmonsServicio de Dermatología, Hospital Universitario del Parc Taulí, Sabadell, Barcelona, Spain.
Laura Alonso NaranjoServicio de Dermatología, Hospital Universitario Doctor Negrín, Las Palmas de Gran Canaria, Las Palmas, Spain.
Pedro Mercader-GarcíaServicio de Dermatología, Hospital Universitario Morales Meseguer, Murcia, Spain.
Vicente Expósito-SerranoServicio de Dermatología, Hospital Universitario del Parc Taulí, Sabadell, Barcelona, Spain.
David PesquéServicio de Dermatología, Hospital del Mar, Instituto Hospital del Mar de Investigaciones Médicas (IMIM), Departament de Medicina i Ciències de la Vida (MELIS), Universitat Pompeu Fabra, Barcelona, Spain.
Miguel Angel DescalzoUnidad de Investigación, Academia Española de Dermatología y Venereología (AEDV), Madrid, Spain.
Ignacio García-DovalUnidad de Investigación, Academia Española de Dermatología y Venereología (AEDV), Madrid, Spain.
Gemma Martín-EzquerraServicio de Dermatología, Hospital del Mar, Instituto Hospital del Mar de Investigaciones Médicas (IMIM), Departament de Medicina i Ciències de la Vida (MELIS), Universitat Pompeu Fabra, Barcelona, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Anti-TNFα agents have been associated with the reactivation of granulomatous infections, including leishmaniasis. Cases of atypical or recurrent cutaneous (CL) or mucocutaneous leishmaniasis (MCL) have been reported in patients on biologics. We conducted a retrospective analysis of a multicenter database to describe the clinical characteristics and management of CL and MCL in patients receiving biological therapy in an endemic area. Clinical features, diagnostics, therapies, and outcomes were analyzed. Seventy-one patients were included (63 CL and 8 MCL). The most common underlying condition was inflammatory bowel disease (33.8%). Lesions were multifocal in 40% and larger than 1 cm in 94.4%. Treatment failures were more frequent in MCL (50%) than CL (8.1%). Biologic therapy was discontinued in 53.5%, leading to worsening of the underlying disease in 44.7%. No significant difference in cure rates was observed between patients who continued vs. discontinued biologics (p=0.868). These findings highlight the clinical burden of CL and MCL in patients undergoing anti-TNFα therapy and suggest that discontinuation of biologic therapy did not significantly impact cure rates, emphasizing the need for standardized strategies balancing infection control and underlying inflammatory disease management.

Indexed as

Biological ProductsLeishmaniasis, CutaneousLeishmaniasis, MucocutaneousTumor Necrosis Factor-alphaTumor Necrosis Factor InhibitorsAdolescentAdultAgedDatabases, FactualFemaleHumansImmunocompromised HostMaleMiddle AgedRecurrenceRetrospective StudiesBiological ProductsTumor Necrosis Factor-alphaTumor Necrosis Factor Inhibitors

Identifiers

PMID41814916
PMCPMC13136560

What OpenQuestion holds

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Registered trials

None linked

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.