Evidence map›Paper›PMID 42147511›Full record

ArticleCureus2026

Successful Treatment of Refractory Palmoplantar Pustulosis With Bimekizumab in a Patient With Multiple Sclerosis: A Case Report.

Osman Mahboob, John Acosta-Peñaloza, Brittani Kongala, Yusuf Amawi, Cynthia Tie

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

5 authors.

Osman MahboobClinical Sciences, Florida State University College of Medicine, Tallahassee, USA.
John Acosta-PeñalozaClinical Sciences, Florida State University College of Medicine, Tallahassee, USA.
Brittani KongalaClinical Sciences, Florida State University College of Medicine, Tallahassee, USA.
Yusuf AmawiClinical Sciences, Florida State University College of Medicine, Tallahassee, USA.
Cynthia TieDermatology, Family Dermatology of North Florida, Tallahassee, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We present a case of refractory palmoplantar pustulosis (PPP) in a female in her early 50s with a history of well-controlled multiple sclerosis (MS). PPP is a dermatological condition characterized by chronic pustules often accompanied by fissures on the palms of the hands or soles of the feet. It is often seen in association with psoriasis vulgaris and arthritis; however, it can also present as isolated lesions. Although several treatment options exist for PPP, including topical corticosteroids, topical calcineurin inhibitors, vitamin D analogs, narrowband ultraviolet B (NBUVB) phototherapy, biologics, and topical retinoids, PPP remains a complex disease to treat. In this case, the patient failed to achieve significant improvement despite trialing multiple therapies, including topical corticosteroids, topical agents, systemic therapy, NBUVB phototherapy, and several biologics, as well as adjunctive antifungal therapy, with persistent pain secondary to fissuring and scaling of her plantar skin. Due to the refractory nature of her PPP, bimekizumab, an anti-IL-17A and IL-17F antibody therapy, was administered as a subcutaneous injection at weeks 0, 4, 8, 12, and 16, followed by maintenance dosing every eight weeks. The patient experienced a significant and sustained improvement in her PPP. Although bimekizumab is primarily used to treat psoriasis and psoriatic arthritis, this case highlights its potential role in the treatment of refractory PPP. There are concerns regarding the safety of biologic treatment in patients with MS due to the possibility of worsening MS symptoms. However, these concerns are primarily associated with anti-tumor necrosis factor therapies and may not be directly applicable to IL-17 inhibitors such as bimekizumab. This clinical case suggests that bimekizumab may be a reasonable therapeutic option in patients with well-controlled MS, though further studies are needed to better characterize its safety in this population.

Indexed as

bimekizumabinterleukin 17a/fmultiple sclerosispalmoplantar pustulosispsoriasis

Identifiers

PMID42147511
PMCPMC13178510

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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.