Biological treatment in dermatology – psoriasis

Czech version

Authors: K. Ettler
Authors‘ workplace: Klinika nemocí kožních a pohlavních Lékařské fakulty UK a FN Hradec Králové, přednosta doc. MUDr. Karel Ettler, CSc.
Published in: Vnitř Lék 2011; 57(9): 684-692
Category: 65th birthday Mudr. Jany Laciné and and 60th birthday Milana Tržila

Overview

Psoriasis is a chronic, relapsing skin disease affecting 1–2% of the population. Genetically-determined autoimmune inflammation is initiated by an infection (e.g. streptococcal). T-lymphocytes, producing a number of cytokines, mainly of the Th₁ profile, including TNFα, play a key role. The role of Th₁₇ and its interleukin IL-23 has recently been confirmed. It contains p40 protein, also a component of IL-12. TNFα and p40 blockade appear to be an effective biological treatment of severe lesional psoriasis. Further research and new drug development is to assure modern individualized treatment of psoriasis as well as other skin diseases.

Key words:
biological treatment of psoriasis – TNFα blockers – IL-12/23 blockers

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