Klin Farmakol Farm. 2021;35(4):112-117 | DOI: 10.36290/far.2021.026

A case of difficult to treat psoriatic arthrtitis

David Suchý
Oddělení klinické farmakologie Fakultní nemocnice v Plzni

Psoriatic arthritis (PsA) is a chronic autoimmune inflammatory disease manifested by involvement of the musculoskeletal system and skin. PsA is considered part of the spondyloarthritis group, which is present in 20-30%of individuals with psoriasis. The introduction of biological therapy has brought substantial improvement in the prognosis of patients not responding to conventional treatment. The success of affecting the tumour necrosis factor α with therapeutic monoclonal antibodies has been followed by extensive research into other potentially suitable molecules. Secukinumab has become the first monoclonal antibody against interleukin-17A introduced into the clinical practice in PsA treatment that is capable of having an effect on the involvement of the musculoskeletal system as well as skin manifestations. This report describes the case of a 50 years old patient with difficult to treat psoriatic arthritis We present this case to show the clinical course of disease and current management strategies of the disease , based on Czech society of rheumatology and European league against rheumatism (EULAR) treatment recommendations.

Keywords: psoriatic arthritis, case report, treatment recommendations, secukinumab.

Published: January 4, 2022  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Suchý D. A case of difficult to treat psoriatic arthrtitis. Klin Farmakol Farm. 2021;35(4):112-117. doi: 10.36290/far.2021.026.
Download citation

References

  1. Gottlieb A. Guidelines of care for the management of psoriasis and psoriatic arthritis: Section 2. Psoriatic arthritis: overview and guidelines of care for treatment with an emphasis on the biologics. J. Am Acad Dermatol, 2008;58:851-864. Go to original source... Go to PubMed...
  2. Migkos MP, Somarakis GP, Marketseli TE et al. Epidemiological characteristics of psoriatic arthritis. Clin Exp Rheumatol 2019;37:324-332. Go to PubMed...
  3. Prey S. Assessment of risk of psoriatic arthritis in patients with plaque psoriasis: a systematic review of the literature. J. Eur. Acad Dermatol Venereol. 2010;24(Suppl. 2):31-35. Go to original source... Go to PubMed...
  4. Qureshi AA. Psoriatic arthritis and psoriasis: need for a multidisciplinary approach. Semin Cutan Med Surg. 2005;24:46-51. Go to original source... Go to PubMed...
  5. Štolfa J. Současný pohled na psoriatickou artritidu, Acta Medicinae, 2012;4:24-29.
  6. Štolfa J, Štork J. Psoriatická artritida a psoriaza.1thed. Maxdorf, 2007:22-42.
  7. Wittkowski KM. Clinical symptoms of skin, nails, and joints manifest independently in patients with concomitant psoriasis and psoriatic arthritis. PLoS ONE. 2011;6:e20279. Go to original source... Go to PubMed...
  8. Wilson FC. Incidence and clinical predictors of psoriatic arthritis in patients with psoriasis: a population-based study. Arthritis Rheum, 2009;61:233-239. Go to original source... Go to PubMed...
  9. Mc Gonagle D. Enthesitis: an autoinflammatory lesion linking nail and joint involvement in psoriatic disease. J Eur Acad Dermatol. Venereol. 2009;23(Suppl. 1):9-13. Go to original source... Go to PubMed...
  10. Sokoll KB, Helliwell PS. Comparison of disability and quality of life in rheumatoid and psoriatic arthritis. J Rheumato, 2001;28:1842-1846.
  11. Štolfa J, Vencovský J, Pavelka K. Doporučené léčebné postupy pro psoriatickou artritidu. Česká revmatologie 2016;24:142-152.
  12. Gossec L, Baraliakos X, Kerschbaumer A et al. EULAR recommendations for the management of psoriatic arthritis with pharmacological therapies: 2019 update, Ann Rheum Dis 2020;79:700-712. Go to original source... Go to PubMed...
  13. Štolfa J. Biologická léčba psoriatické artritidy, Vnitřní lékařství, 2018;64(2):127-135. Go to original source... Go to PubMed...
  14. Lie E, van der Heijde D, Uhlig T et al. Effectiveness and retention rates of methotrexate in psoriatic arthritis in comparison with methotrexate-treated patients with rheumatoid arthritis. Ann Rheum Dis 2010;69:671-676. Go to original source... Go to PubMed...
  15. Mease PJ, Gladman DD, Collier DH et al. Etanercept and methotrexate as monotherapy or in combination for psoriatic arthritis: primary results from a randomized, controlled phase III trial. Arthritis Rheumatol 2019;71:1112-1124. Go to original source... Go to PubMed...
  16. Nash P, Kirkham B, Okada M et al. Ixekizumab for the treatment of patients with active psoriatic arthritis and an inadequate response to tumour necrosis factor inhibitors: results from the 24-week randomised, double-blind, placebo-controlled period of the SPIRIT-P2 phase 3 trial. The Lancet 2017;389:2317-2327. Go to original source... Go to PubMed...
  17. McInnes IB, Kavanaugh A, Gottlieb AB et al. Efficacy and safety of ustekinumab in patients with active psoriatic arthritis: 1 year results of the phase 3, multicentre, double-blind, placebo-controlled PSUMMIT 1 trial. Lancet 2013;382:780-789. Go to original source... Go to PubMed...
  18. Kristensen LE, Lie E, Jacobsson LTH et al. Effectiveness and feasibility associated with switching to a second or third TNF inhibitor in patients with psoriatic arthritis: a cohort study from southern Sweden. J Rheumatol 2016;43:81-87. Go to original source... Go to PubMed...
  19. Mease P, Hall S, FitzGerald O et al. Tofacitinib or adalimumab versus placebo for psoriatic arthritis. N Engl J Med 2017;377:1537-1550. Go to original source... Go to PubMed...
  20. Gladman D, Rigby W, Azevedo VF et al. Tofacitinib for psoriatic arthritis in patients with an inadequate response to TNF inhibitors. N Engl J Med 2017;377:1525-1536. Go to original source... Go to PubMed...




Clinical Pharmacology and Pharmacy

Madam, Sir,
please be aware that the website on which you intend to enter, not the general public because it contains technical information about medicines, including advertisements relating to medicinal products. This information and communication professionals are solely under §2 of the Act n.40/1995 Coll. Is active persons authorized to prescribe or supply (hereinafter expert).
Take note that if you are not an expert, you run the risk of danger to their health or the health of other persons, if you the obtained information improperly understood or interpreted, and especially advertising which may be part of this site, or whether you used it for self-diagnosis or medical treatment, whether in relation to each other in person or in relation to others.

I declare:

  1. that I have met the above instruction
  2. I'm an expert within the meaning of the Act n.40/1995 Coll. the regulation of advertising, as amended, and I am aware of the risks that would be a person other than the expert input to these sites exhibited


No

Yes

If your statement is not true, please be aware
that brings the risk of danger to their health or the health of others.