Evidence map›Paper›PMID 41939653›Full record

ArticleCureus2026

Psoriasis Flare Following Interleukin-17 (IL-17) Inhibition and Recent Streptococcal Infection: A Case Report Highlighting Management Complexity.

Puspita Hassan, Michelle Gallagher

Abstract readCase Reports
In one paragraph

Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

2 authors.

Puspita HassanDermatology, Michigan State University College of Osteopathic Medicine, East Lansing, USA.
Michelle GallagherDermatology, Michigan State University College of Osteopathic Medicine, East Lansing, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Psoriasis is a chronic immune-mediated inflammatory skin disease that has a wide range of clinical manifestations. Biologic agents such as interleukin-17 (IL-17) inhibitors are increasingly used for the management of moderate-to-severe psoriasis due to their ability to achieve similar therapeutic outcomes with better safety profiles than conventional systemic treatments, such as methotrexate or cyclosporine. While typically safer, there is a rare possibility of these agents exacerbating psoriasis. Moreover, a psoriasis flare may occur from various causes, such as an adverse reaction to treatments or streptococcal infections. This case illustrates the complexity of managing psoriasis in patients who have contraindications to systemic treatments, are unresponsive to standard therapies, and may have potential complications from streptococcal infection. It highlights the need to consider multiple therapeutic approaches, including the use of phosphodiesterase 4 (PDE4) inhibitors. We discuss the case of a 37-year-old female with worsening of psoriasis following a streptococcal infection and treatment with ixekizumab.

Indexed as

biologic il-17 inhibitorguttate psoriasisixekizumabparadoxical psoriasispde4 inhibitorspsoriasis treatment

Identifiers

PMID41939653
PMCPMC13045917

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.