Efficacy of Secukinumab for Plaque Psoriasis in a Patient on Hemodialysis

被引:13
作者
Ikuma, Daiuske [1 ]
Oguro, Masahiko [1 ]
Hoshino, Junichi [1 ]
Mizuno, Hiroki [1 ]
Sekine, Akinari [1 ]
Kawada, Masahiro [1 ]
Hiramatsu, Rikako [1 ]
Sumida, Keiichi [1 ]
Hasegawa, Eiko [1 ]
Hayami, Noriko [1 ]
Yamanouchi, Masayuki [1 ]
Suwabe, Tatsuya [1 ]
Sawa, Naoki [1 ]
Takaichi, Kenmei [1 ]
Ubara, Yoshifumi [1 ]
机构
[1] Toranomon Gen Hosp, Nephrol Ctr, 2-2-2 Minato Ku, Tokyo 1050001, Japan
关键词
Plaque psoriasis; Secukinumab; Hemodialysis and end stage renal disease (ESRD); ADALIMUMAB TREATMENT; JAPANESE PATIENTS; ARTHRITIS; SAFETY; ETANERCEPT; MODERATE; THERAPY;
D O I
10.1007/s13730-019-00426-z
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Secukinumab is effective to treat plaque psoriasis. However, the safety and efficiency of secukinumab have not been clarified in patients on hemodialysis. We report a 60-year-old Japanese woman. Plaque psoriasis was diagnosed at the age of 25 years and hemodialysis was started at the age of 39 years. Her skin lesions persisted despite use of topical agents such as maxacalcitol and betamethasone. Accordingly, administration of secukinumab was started at a dose of 150 mg. The psoriasis area and severity index (PASI) score decreased from 49.8 to 14.8 after 2 weeks and to 0 after 6 weeks, with remission being maintained after 28 months. No adverse reactions were seen. This case indicates that secukinumab may be effective for severe psoriasis in patients on hemodialysis for end-stage renal disease.
引用
收藏
页码:55 / 58
页数:4
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