Liver Illness and Psoriatic Patients

被引:60
作者
Fiore, Marco [1 ]
Leone, Sebastiano [2 ]
Maraolo, Alberto Enrico [3 ]
Berti, Emilio [4 ]
Damiani, Giovanni [4 ,5 ]
机构
[1] Univ Campania Luigi Vanvitelli, Dept Anaesthesiol Surg & Emergency Sci, Naples, Italy
[2] San Giuseppe Moscati Hosp, Dept Med, Div Infect Dis, Avellino, Italy
[3] Univ Naples Federico II, Dept Clin Med & Surg, Sect Infect Dis, Naples, Italy
[4] Univ Milan, IRCCS Ca Granda, Dept Pathophysiol & Transplantat, Dermatol Unit, Milan, Italy
[5] Study Ctr Young Dermatologists Italian Network YD, Bergamo, Italy
关键词
HEPATITIS-B-VIRUS; GENERALIZED PUSTULAR PSORIASIS; PRIMARY BILIARY-CIRRHOSIS; FACTOR-ALPHA INHIBITORS; C VIRUS; RHEUMATOID-ARTHRITIS; IMMUNOSUPPRESSED PATIENTS; HEPATOCELLULAR-CARCINOMA; RETROSPECTIVE ANALYSIS; CLINICAL-PRACTICE;
D O I
10.1155/2018/3140983
中图分类号
Q81 [生物工程学(生物技术)]; Q93 [微生物学];
学科分类号
071005 ; 0836 ; 090102 ; 100705 ;
摘要
Psoriasis is a chronic inflammatory disease of the skin affecting approximately 2% of the world's population. Systemic treatments, including methotrexate and cyclosporin, are associated with potential hepatotoxicity, due to either direct liver damage or immunosuppression or both immunomediated and a direct liver injury; therefore, treatment of patients with psoriasis poses a therapeutic challenge. The aim of this minireview is to help clinicians in the management of psoriatic patients who develop signs of liver dysfunction. To find relevant articles, a comprehensive search was performed on PubMed, EMBASE, and Cochrane with appropriate combinations of the following keywords being considered: viral hepatitis, nonalcoholic fatty liver disease, psoriasis, hepatotoxicity, drug toxicity, cholestasis, and autoimmune liver diseases.
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页数:12
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