Academic Journal

The role of biologics in the treatment of chronic granuloma annulare

التفاصيل البيبلوغرافية
العنوان: The role of biologics in the treatment of chronic granuloma annulare
المؤلفون: Chen, Alessandra, Truong, Allison K., Worswick, Scott
المصدر: International Journal of Dermatology ; volume 58, issue 5, page 622-626 ; ISSN 0011-9059 1365-4632
بيانات النشر: Wiley
سنة النشر: 2019
المجموعة: Wiley Online Library (Open Access Articles via Crossref)
الوصف: Background Granuloma annulare ( GA ), a benign inflammatory skin disease, is considered a Th1‐type delayed hypersensitivity reaction. Localized GA is likely to resolve spontaneously, whereas disseminated GA ( DGA ) may persist for decades and can be resistant to treatment. Biologics including TNF ‐α inhibitors have been proposed and utilized as salvage therapy for GA and other related diseases, interstitial granulomatous dermatitis ( IGD ), and actinic granuloma ( AG ). Methods A systematic review was conducted using the combination of search terms “granuloma annulare,” “interstitial granulomatous dermatitis,” or “actinic granuloma” and either “biologics,” “etanercept,” “adalimumab,” “infliximab,” “ustekinumab,” “ixekizumab,” “secukinumab,” “guselkumab,” “golimumab,” “brodalumab,” “tildrakizumab,” or “certolizumab” from the years 1970–2017. Results Review of the literature revealed that 79.3% of the patients with GA , IGD , or AG who had been treated with demonstrated TNF ‐α inhibitor therapy a clinical response. Conclusions TNF ‐α inhibitor therapy has been used to treat chronic GA , IGD , and AG that involved extensive body surface areas. However, the literature is limited to case series lacking control groups. Randomized, controlled trials are required to establish evidence‐based treatment of GA and related cutaneous, granulomatous conditions.
نوع الوثيقة: article in journal/newspaper
اللغة: English
DOI: 10.1111/ijd.14350
الاتاحة: http://dx.doi.org/10.1111/ijd.14350
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رقم الانضمام: edsbas.EEF8E41
قاعدة البيانات: BASE