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Review

Clinical advances in biological therapy for generalized pustular psoriasis: a review

ORCID Icon &
Pages 37-50 | Received 20 Oct 2023, Accepted 19 Jan 2024, Published online: 04 Feb 2024

References

  • Blair HA. Spesolimab: first approval. Drugs. 2022;82:1681. doi: 10.1007/S40265-022-01801-4
  • Morita A, Strober B, Burden AD, et al. Efficacy and safety of subcutaneous spesolimab for the prevention of generalised pustular psoriasis flares (Effisayil 2): an international, multicentre, randomised, placebo-controlled trial. Lancet. 2023;402:1541–1551. doi: 10.1016/s0140-6736(23)01378-8
  • Yang SF, Lin MH, Chou PC, et al. Genetics of generalized pustular psoriasis: current understanding and implications for future therapeutics. Genes (Basel). 2023;14:1297. doi: 10.3390/genes14061297
  • Morita A, Yamazaki F, Matsuyama T, et al. Adalimumab treatment in Japanese patients with generalized pustular psoriasis: results of an open-label phase 3 study. J Dermatol. 2018;45:1371–1380. doi: 10.1111/1346-8138.14664
  • Du Y, Yan Q, Chen M, et al. Efficacy of Adalimumab in pediatric generalized pustular psoriasis: case series and literature review. J Dermatolog Treat. 2022;33:2862–2868. doi: 10.1080/09546634.2022.2089327
  • Fukushima H, Iwata Y, Arima M, et al. Efficacy and safety of treatment with anti-tumor necrosis factor-α drugs for severe impetigo herpetiformis. J Dermatol. 2021;48:207–210. doi: 10.1111/1346-8138.15635
  • Yamashita T, Hamada T, Maruta Y, et al. An effective and promising treatment with Adalimumab for impetigo herpetiformis with postpartum flare-up. Int J Dermatol. 2019;58:350–353. doi: 10.1111/IJD.14141
  • Hay RAS, Pan JY. Paradoxical flare of pustular psoriasis triggered by ustekinumab, which responded to Adalimumab therapy. Clin Exp Dermatol. 2014;39:751–752. doi: 10.1111/ced.12392
  • Kawakami H, Maeda T, Abe N, et al. Efficacy of Adalimumab and methotrexate combination therapy on generalized pustular psoriasis patients unresponsive to infliximab monotherapy due to anti-infliximab antibody development. J Dermatol. 2015;42:94–95. doi: 10.1111/1346-8138.12704
  • Matsumoto A, Komine M, Karakawa M, et al. Adalimumab administration after infliximab therapy is a successful treatment strategy for generalized pustular psoriasis. J Dermatol. 2017;44:202–204. doi: 10.1111/1346-8138.13632
  • Hospach T, Glowatzki F, Blankenburg F, et al. Scoping review of biological treatment of deficiency of interleukin-36 receptor antagonist (DITRA) in children and adolescents. Pediatr Rheumatol Online J. 2019;17:37. doi: 10.1186/s12969-019-0338-1
  • Kamal K, Gj R, Hijaz B, et al. Generalized pustular psoriasis-like widespread eruption following COVID-19 infection in a patient with spondyloarthropathy on Adalimumab. Exp Dermatol. 2024;33:e14889. doi: 10.1111/exd.14889
  • Kucharekova M, Winnepenninckx V, Frank J, et al. Generalized pustulosis induced by Adalimumab in a patient with rheumatoid arthritis - a therapeutic challenge. Int J Dermatol. 2008;47:25–28. doi: 10.1111/j.1365-4632.2008.03954.x
  • Kimura U, Kinoshita A, Haruna K, et al. Generalized pustular psoriasis-like eruptions induced after the first use of adalimumab in the treatment of psoriatic arthritis. J Dermatol. 2012;39:286–287. doi: 10.1111/j.1346-8138.2011.01344.x
  • Yang X, Wang J, Wang H, et al. Acute generalized pustular psoriasis developed resistance to adalimumab was successfully treated with narrowband ultraviolet B and acitretin: a case report. Clin Cosmet Investig Dermatol. 2022;15:2541–2546. doi: 10.2147/CCID.S391463
  • Mizutani Y, Mizutani YH, Matsuyama K, et al. Generalized pustular psoriasis in pregnancy, successfully treated with certolizumab pegol. J Dermatol. 2020;47:e262–e263. doi: 10.1111/1346-8138.15355
  • Mariette X, Förger F, Abraham B, et al. Lack of placental transfer of certolizumab pegol during pregnancy: results from CRIB, a prospective, postmarketing, pharmacokinetic study. Ann Rheum Dis. 2018;77:228–233. doi: 10.1136/ANNRHEUMDIS-2017-212196
  • Yatsuzuka K, Matsumoto T, Sakane Y, et al. The use of certolizumab pegol to successfully treat generalized pustular psoriasis combined with psoriatic uveitis. J Dermatol. 2023;50:e175–e176. doi: 10.1111/1346-8138.16704
  • Okubo Y, Umezawa Y, Sakurai S, et al. Efficacy and safety of certolizumab pegol in japanese patients with generalized pustular psoriasis and erythrodermic psoriasis: 52-week results. Dermatol Ther. 2022;12:1397–1415. doi: 10.1007/s13555-022-00741-x
  • Koizumi H, Tokuriki A, Oyama N, et al. Certolizumab pegol, a pegylated anti-TNF-α antagonist, caused de novo-onset palmoplantar pustulosis followed by generalized pustular psoriasis in a patient with rheumatoid arthritis. J Dermatol. 2017;44:723–724. doi: 10.1111/1346-8138.13530
  • Esposito M, Mazzotta A, Casciello C, et al. Etanercept at different dosages in the treatment of generalized pustular psoriasis: a case series. Dermatology. 2008:216:355–360. doi: 10.1159/000117706
  • Pereira TM, Vieira AP, Fernandes JC, et al. Anti-TNF-α therapy in childhood pustular psoriasis. Dermatology. 2006;213:350–352. doi: 10.1159/000096202
  • Georgesen C, Wildman H, Wang X, et al. Pediatric pustular psoriasis responsive to cyclosporine bridged to etanercept: a treatment approach. Dermatol Online J. 2017;23:13030/qt9787b6c0. doi: 10.5070/d32311037267
  • Fialová J, Vojáčková N, Vaňousová D, et al. Juvenile generalized pustular psoriasis treated with etanercept. Dermatol Ther. 2014;27:105–108. doi: 10.1111/dth.12065
  • Lin YC, Jeng YC, Aala WJF, et al. Transcriptomic responses of peripheral blood mononuclear cells to cyclosporin and etanercept in a female infant with juvenile generalized pustular psoriasis. Exp Dermatol. 2023;32:1299–1305. doi: 10.1111/exd.14835
  • Cuperus E, Koevoets R, van der Smagt JJ, et al. Juvenile interleukin-36 receptor antagonist deficiency (DITRA) with c.80T>C (p.Leu27Pro) mutation successfully treated with etanercept and acitretin. JAAD Case Rep. 2018;4:192–195. doi: 10.1016/j.jdcr.2017.08.019
  • Ephrem G, Jour G, Smith BL. Successful treatment of von Zumbusch generalized pustular psoriasis with cyclosporine after eruption post etanercept injection. J Med Liban. 2011;59:168–169.
  • Brigant F, Clavel G, Chatelain D, et al. Letter: a case of generalized guttate psoriasis induced by etanercept with relapse after abatacept. Dermatol Online J. 2011;17:11. doi: 10.5070/D38M24603S
  • Torii H, Terui T, Matsukawa M, et al. Safety profiles and efficacy of infliximab therapy in Japanese patients with plaque psoriasis with or without psoriatic arthritis, pustular psoriasis or psoriatic erythroderma: results from the prospective post-marketing surveillance. J Dermatol. 2016;43:767–778. doi: 10.1111/1346-8138.13214
  • Torii H, Nakagawa H. Long-term study of infliximab in Japanese patients with plaque psoriasis, psoriatic arthritis, pustular psoriasis and psoriatic erythroderma. J Dermatol. 2011;38:321–334. doi: 10.1111/j.1346-8138.2010.00971.x
  • Torii H, Nakano M, Yano T, et al. Efficacy and safety of dose escalation of infliximab therapy in Japanese patients with psoriasis: results of the SPREAD study. J Dermatol. 2017;44:552–559. doi: 10.1111/1346-8138.13698
  • Babuna Kobaner G, Polat Ekinci A. Infliximab for the treatment of recalcitrant generalized pustular psoriasis of pregnancy: Report of a challenging case. Dermatol Ther. 2020;33:e13571. doi: 10.1111/dth.13571
  • Beksac B, Adisen E, Gurer MA. Treatment of generalized pustular psoriasis of pregnancy with infliximab. Cutis. 2021;107:E2–5. doi: 10.12788/cutis.0210
  • Adachi A, Komine M, Hirano T, et al. Case of generalized pustular psoriasis exacerbated during pregnancy, successfully treated with infliximab. J Dermatol. 2016;43:1439–1440. doi: 10.1111/1346-8138.13429
  • Sheth N, Greenblatt DT, Acland K, et al. Generalized pustular psoriasis of pregnancy treated with infliximab. Clin Exp Dermatol. 2009;34:521–522. doi: 10.1111/j.1365-2230.2008.02963.x
  • Tsang V, Dvorakova V, Enright F, et al. Successful use of infliximab as first line treatment for severe childhood generalized pustular psoriasis. J Eur Acad Dermatol Venereol. 2016;30:e117–e119. doi: 10.1111/JDV.13388
  • Lu J, Li Y, Yu N, et al. Successful treatment of juvenile generalized pustular psoriasis with infliximab therapy: two case reports. J Int Med Res. 2020;48:0300060520912091. doi: 10.1177/0300060520912091
  • Sugiura K, Endo K, Akasaka T, et al. Successful treatment with infliximab of sibling cases with generalized pustular psoriasis caused by deficiency of interleukin-36 receptor antagonist. J Eur Acad Dermatol Venereol. 2015;29:2054–2056. doi: 10.1111/jdv.12590
  • Podlipnik S, de la Mora L, Alsina M, et al. Pneumocystis jirovecii pneumonia in a patient with pustular psoriasis with an IL-36RN deficiency treated with infliximab: case report and review of the literature. Australas J Dermatol. 2017;58:e44–e47. doi: 10.1111/ajd.12489
  • Pan J, Qiu L, Xiao T, et al. Juvenile generalized pustular psoriasis with IL36RN mutation treated with short-term infliximab. Dermatol Ther. 2016;29:164–167. doi: 10.1111/dth.12325
  • Almutairi D, Sheasgreen C, Weizman A, et al. Generalized pustular psoriasis induced by infliximab in a patient with inflammatory bowel disease. J Cutan Med Surg. 2018;22:507–510. doi: 10.1177/1203475418758986
  • Zheng J, Gao Y, Ding Y. Successful management of infliximab-induced generalized pustular psoriasis without therapy discontinuation in a patient with psoriatic arthritis. Dermatol Ther. 2019;32:e13132. doi: 10.1111/dth.13132
  • Xia P, Li YH, Liu Z, et al. Recalcitrant paradoxical pustular psoriasis induced by infliximab: two case reports. World J Clin Cases. 2021;9:3655–3661. doi: 10.12998/wjcc.v9.i15.3655
  • Chiu HY, Chiu YM, Chang Liao NF, et al. Predictors of hepatitis B and C virus reactivation in patients with psoriasis treated with biologic agents: a 9-year multicenter cohort study. J Am Acad Dermatol. 2021;85:337–344. doi: 10.1016/j.jaad.2019.12.001
  • Chiu HY, Hsueh PR, Tsai TF. Clinical experience of QuantiFERON®-TB Gold testing in patients with psoriasis treated with tumour necrosis factor blockers in Taiwan. Br J Dermatol. 2011;164:553–559. doi: 10.1111/j.1365-2133.2010.10137.x
  • Jiang Y, Chen Y, Yu Q, et al. Biologic and small-molecule therapies for moderate-to-severe psoriasis: focus on psoriasis comorbidities. BioDrugs. 2023;37:35–55. doi: 10.1007/S40259-022-00569-Z
  • Li L, Aviña-Zubieta JA, Bernstein CN, et al. Risk of multiple sclerosis among users of antitumor necrosis factor α in 4 canadian provinces: a population-based study. Neurology. 2023;100:E558–E567. doi: 10.1212/WNL.0000000000201472
  • Lichtenstein L, Ron Y, Kivity S, et al. Infliximab-related infusion reactions: systematic review. J Crohns Colitis. 2015;9:806. doi: 10.1093/ECCO-JCC/JJV096
  • Naik HB, Pichard DC, Schwartz DM, et al. Anakinra for refractory pustular psoriasis: a phase II, open-label, dose-escalation trial. J Am Acad Dermatol. 2022;87:1380–1383. doi: 10.1016/J.JAAD.2022.07.065
  • Minkis K, Aksentijevich I, Goldbach-Mansky R, et al. Interleukin 1 receptor antagonist deficiency presenting as infantile pustulosis mimicking infantile pustular psoriasis. Arch Dermatol. 2012;148:747–752. doi: 10.1001/archdermatol.2011.3208
  • Mendonça LO, Grossi A, Caroli F, et al. A case report of a novel compound heterozygous mutation in a Brazilian patient with deficiency of Interleukin-1 receptor antagonist (DIRA). Pediatr Rheumatol Online J. 2020;18:67. doi: 10.1186/s12969-020-00454-5
  • Viguier M, Guigue P, Pagès C, et al. Successful treatment of generalized pustular psoriasis with the interleukin-1-receptor antagonist Anakinra: lack of correlation with IL1RN mutations. Ann Intern Med. 2010;153:66–67. doi: 10.7326/0003-4819-153-1-201007060-00030
  • Hüffmeier U, Wätzold M, Mohr J, et al. Successful therapy with anakinra in a patient with generalized pustular psoriasis carrying IL36RN mutations. Br J Dermatol. 2014;170:202–204. doi: 10.1111/bjd.12548
  • Rossi-Semerano L, Piram M, Chiaverini C, et al. First clinical description of an infant with interleukin-36-receptor antagonist deficiency successfully treated with anakinra. Pediatrics. 2013;132:e1043–e1047. doi: 10.1542/peds.2012-3935
  • Ulusoy E, Karaca NE, El-Shanti H, et al. Interleukin-1 receptor antagonist deficiency with a novel mutation; Late onset and successful treatment with canakinumab: a case report. J Med Case Rep. 2015;9:145. doi: 10.1186/s13256-015-0618-4
  • Skendros P, Papagoras C, Lefaki I, et al. Successful response in a case of severe pustular psoriasis after interleukin-1β inhibition. Br J Dermatol. 2017;176:212–215. doi: 10.1111/bjd.14685
  • Gómez-García F, Sanz-Cabanillas JL, Viguera-Guerra I, et al. Scoping review on use of drugs targeting interleukin 1 pathway in DIRA and DITRA. Dermatol Ther. 2018;8:539–556. doi: 10.1007/S13555-018-0269-7
  • Mansouri B, Richards L, Menter A. Treatment of two patients with generalized pustular psoriasis with the interleukin-1β inhibitor gevokizumab. Br J Dermatol. 2015;173:239–241. doi: 10.1111/bjd.13614
  • Garg M, de Jesus AA, Chapelle D, et al. Rilonacept maintains long-term inflammatory remission in patients with deficiency of the IL-1 receptor antagonist. JCI Insight. 2017;2:e94838. doi: 10.1172/JCI.INSIGHT.94838
  • Hagino T, Saeki H, Kanda N. Two cases of generalized pustular psoriasis successfully treated with bimekizumab. J Dermatol. 2023 Oct;50(10):e357–e358. doi: 10.1111/1346-8138.16866
  • Shukuin R, Koizumi H, Ebata A, et al. Successful combination therapy of bimekizumab and granulocyte monocyte adsorption apheresis for generalized pustular psoriasis complicated with microscopic polyangiitis. J Dermatol. 2023;50:e181–e182. doi: 10.1111/1346-8138.16707
  • Yamasaki K, Nakagawa H, Kubo Y, et al. Efficacy and safety of brodalumab in patients with generalized pustular psoriasis and psoriatic erythroderma: results from a 52-week, open-label study. Br J Dermatol. 2017;176:741–751. doi: 10.1111/bjd.14702
  • Fujii A, Fujii K, Seishima M. Generalized pustular psoriasis with CARD14 variant c.526G>C (p.Asp176His) successfully treated with granulocyte and monocyte adsorption apheresis. Ther Apher Dial. 2019;23:298–299. doi: 10.1111/1744-9987.12816
  • Nakai Y, Ashida H, Kajita A, et al. Impetigo herpetiformis successfully treated with brodalumab. J Dermatol. 2022;49:e149–e150. doi: 10.1111/1346-8138.16285
  • Khemis A, Cavalié M, Montaudié H, et al. Rebound pustular psoriasis after brodalumab discontinuation. Br J Dermatol. 2016;175:1065–1066. doi: 10.1111/bjd.14627
  • Wang C, Torisu-Itakura H, Hanada T, et al. Treatment persistence of interleukin-17 inhibitor class drugs among patients with psoriasis in Japan: a retrospective database study. J Dermato Treat. 2023;34:2229465. doi: 10.1080/09546634.2023.2229465
  • Saeki H, Nakagawa H, Ishii T, et al. Efficacy and safety of open-label ixekizumab treatment in Japanese patients with moderate-to-severe plaque psoriasis, erythrodermic psoriasis and generalized pustular psoriasis. J Eur Acad Dermatol Venereol. 2015;29:1148–1155. doi: 10.1111/jdv.12773
  • Saeki H, Nakagawa H, Nakajo K, et al. Efficacy and safety of ixekizumab treatment for Japanese patients with moderate to severe plaque psoriasis, erythrodermic psoriasis and generalized pustular psoriasis: results from a 52-week, open-label, phase 3 study (UNCOVER-J). J Dermatol. 2017;44:355–362. doi: 10.1111/1346-8138.13622
  • Okubo Y, Mabuchi T, Iwatsuki K, et al. Long-term efficacy and safety of ixekizumab in Japanese patients with erythrodermic or generalized pustular psoriasis: subgroup analyses of an open-label, phase 3 study (UNCOVER-J). J Eur Acad Dermatol Venereol. 2019;33:325–332. doi: 10.1111/jdv.15287
  • Nagata M, Kamata M, Fukaya S, et al. Real-world single-center experience with 10 cases of generalized pustular psoriasis successfully treated with ixekizumab. J Am Acad Dermatol. 2020;82:758–761. doi: 10.1016/J.JAAD.2019.09.040
  • Morita A, Okubo Y, Morisaki Y, et al. Ixekizumab 80 mg every 2 weeks treatment beyond week 12 for Japanese patients with generalized pustular psoriasis and erythrodermic psoriasis. Dermatol Ther. 2022;12:481–494. doi: 10.1007/s13555-021-00666-x
  • Avallone G, Cariti C, Dapavo P, et al. Real-life comparison between secukinumab and ixekizumab in the treatment of pustular and erythrodermic psoriasis. J Eur Acad Dermatol Venereol. 2022;36:e574–e576. doi: 10.1111/jdv.18069
  • Imafuku S, Honma M, Okubo Y, et al. Efficacy and safety of secukinumab in patients with generalized pustular psoriasis: a 52-week analysis from phase III open-label multicenter Japanese study. J Dermatol. 2016;43:1011–1017. doi: 10.1111/1346-8138.13306
  • Reymundo A, Vilarrasa E, Baniandrés O, et al. Effectiveness and safety profile of secukinumab for the treatment of patients with generalized pustular psoriasis in daily practice. J Eur Acad Dermatol Venereol. 2022;36:e849–e851. doi: 10.1111/jdv.18317
  • Dogra S, Bishnoi A, Narang T, et al. Secukinumab-induced paradoxical pustular psoriasis. Clin Exp Dermatol. 2019;44:72–73. doi: 10.1111/ced.13731
  • Wu X, Yan T, Han C, et al. Rapid and sustained response of acute generalized pustular psoriasis of von Zumbusch to Secukinumab. J Eur Acad Dermatol Venereol. 2023;37:e338–e341. doi: 10.1111/jdv.18609
  • López-Sánchez C, Falla LM, Roé-Crespo E, et al. Excellent response to secukinumab in an infant with severe generalized pustular psoriasis. J Dermatol. 2021;48:907–910. doi: 10.1111/1346-8138.15673
  • Jing G, Bin W, Ying ZZ. Rapid response to secukinumab in a 5-year-old with deficiency of the interleukin-36 receptor antagonist (DITRA) with severe scalp and nail involvement. Pediatr Dermatol. 2021;38:1258–1263. doi: 10.1111/pde.14737
  • Zhu H, Song P, Du D, et al. Successful treatment of a 3-year-old girl with generalized pustular psoriasis using secukinumab monotherapy. Pediatr Dermatol. 2021;38:1366–1367. doi: 10.1111/pde.14795
  • Gabeff R, Safar R, Leducq S, et al. Successful therapy with secukinumab in a patient with generalized pustular psoriasis carrying homozygous IL36RN p.His32Arg mutation. Int J Dermatol. 2019;58:e16–e17. doi: 10.1111/ijd.14293
  • Ho PH, Tsai TF. Successful treatment of refractory juvenile generalized pustular psoriasis with secukinumab monotherapy: a case report and review of published work. J Dermatol. 2018;45:1353–1356. doi: 10.1111/1346-8138.14636
  • Ruan SF, Zhang LL, Liu Z, et al. Real-world data on the clinical use of secukinumab in pediatric generalized pustular psoriasis: A 48-week retrospective study. J Am Acad Dermatol. 2023;88:243–246. doi: 10.1016/J.JAAD.2022.04.064
  • Miao C, Chen Y, Wang Z, et al. Real-world data on the use of secukinumab and acitretin in pediatric generalized pustular psoriasis. J Dermatol. 2023;50:258–261. doi: 10.1111/1346-8138.16551
  • Yoshikawa M, Rokunohe D, Kimura A, et al. Significance of IL36RN mutation analyses in the management of impetigo herpetiformis: A case report and review of published cases. J Dermatol. 2021;48:699–702. doi: 10.1111/1346-8138.15788
  • Neema S, Shrestha S, Sathu S, et al. Excellent response to secukinumab in treatment resistant impetigo herpetiformis. Indian Dermatol Online J. 2023;14:118–119. doi: 10.4103/idoj.idoj_115_22
  • Kanatani Y, Shinkuma S, Matsumoto Y, et al. Recurrence of impetigo herpetiformis carrying compound heterozygous mutations in IL36RN after remission with secukinumab. J Dermatol. 2022;49:e108–e110. doi: 10.1111/1346-8138.16247
  • Zhang J, Xia P, Wan L, et al. Generalized pustular psoriasis of pregnancy successfully treated with secukinumab. Indian J Dermatol Venereol Leprol. 2023;89:886–888. doi: 10.25259/ijdvl_1060_2022
  • Chiu HY, Hui RCY, Huang YH, et al. Safety profile of secukinumab in treatment of patients with psoriasis and concurrent hepatitis B or C: a multicentric prospective cohort study. Acta Derm Venereol. 2018;98:829–834 doi: 10.2340/00015555-2989.
  • Eshwar V, Kamath A, Shastry R, et al. A review of the safety of interleukin-17A inhibitor secukinumab. Pharmaceuticals. 2022;15:1365. doi: 10.3390/ph15111365
  • Wu CY, Chiu HY, Tsai TF. The seroconversion rate of QuantiFERON-TB Gold In-Tube test in psoriatic patients receiving secukinumab and ixekizumab, the anti-interleukin-17A monoclonal antibodies. PLoS One. 2019;14:e0225112. doi: 10.1371/journal.pone.0225112
  • Loft ND, Vaengebjerg S, Halling AS, et al. Adverse events with IL-17 and IL-23 inhibitors for psoriasis and psoriatic arthritis: a systematic review and meta-analysis of phase III studies. J Eur Acad Dermatol Venereol. 2020;34:1151–1160. doi: 10.1111/jdv.16073
  • Sano S, Kubo H, Morishima H, et al. Guselkumab, a human interleukin-23 monoclonal antibody in Japanese patients with generalized pustular psoriasis and erythrodermic psoriasis: efficacy and safety analyses of a 52-week, phase 3, multicenter, open-label study. J Dermatol. 2018;45:529–539. doi: 10.1111/1346-8138.14294
  • Yamamoto H, Kamiya K, Okada H, et al. A case of acrodermatitis continua of Hallopeau evolving into generalized pustular psoriasis successfully treated with guselkumab. Int J Dermatol. 2023;62:269–270. doi: 10.1111/ijd.16153
  • Yamanaka K, Okubo Y, Yasuda I, et al. Efficacy and safety of risankizumab in Japanese patients with generalized pustular psoriasis or erythrodermic psoriasis: Primary analysis and 180-week follow-up results from the phase 3, multicenter IMMspire study. J Dermatol. 2023;50:195–202. doi: 10.1111/1346-8138.16667
  • Hsieh CY, Tseng YH, Tsai TF. Predictors for the effectiveness of 75 mg risankizumab in treating psoriasis—A real-word evidence from a 52-week retrospective study. Exp Dermatol. 2023;32:2138–2148. doi: 10.1111/exd.14963
  • Song EJ. Generalized pustular psoriasis treated with risankizumab. Cutis. 2023;111:96–98. doi: 10.12788/cutis.0695
  • Heyer S, Seiringer P, Eyerich S, et al. Acute generalized pustular psoriasis successfully treated with the IL-23p19 antibody risankizumab. J Dtsch Dermatol Ges. 2022;20:1362–1364. doi: 10.1111/ddg.14857
  • McFeely O, Pender E, Victory L, et al. Risankizumab-induced paradoxical pustular psoriasis. Clin Exp Dermatol. 2022;47:616–617. doi: 10.1111/CED.15006
  • Arakawa A, Ruzicka T, Prinz JC. Therapeutic efficacy of interleukin 12/interleukin 23 blockade in generalized pustular psoriasis regardless of IL36RN mutation status. JAMA Dermatol. 2016;152:825–828. doi: 10.1001/jamadermatol.2016.0751
  • Alsenaid A, Prinz JC. Inadvertent pregnancy during ustekinumab therapy in a patient with plaque psoriasis and impetigo herpetiformis. J Eur Acad Dermatol Venereol. 2016;30:488–490. doi: 10.1111/jdv.12872
  • Ryan Andrulonis MD, Korb Ferris L. Treatment of severe psoriasis with ustekinumab during pregnancy. J Drugs Dermatol. 2012;11:1240.
  • Bonekamp N, Caorsi R, Viglizzo GM, et al. High-dose ustekinumab for severe childhood deficiency of interleukin-36 receptor antagonist (DITRA). Ann Rheum Dis. 2018;77:1241–1243. doi: 10.1136/annrheumdis-2017-211805
  • Cherqaoui B, Rossi-Semerano L, Piram M, et al. Standard dose of ustekinumab for childhood-onset deficiency of interleukin-36 receptor antagonist. Ann Rheum Dis. 2018;77:e88. doi: 10.1136/annrheumdis-2017-212793
  • Huang YW, Tsai TF. Pharmacological management of pediatric pustular psoriasis. Pediatr Drugs. 2020;22:265–277. doi: 10.1007/s40272-020-00383-6
  • Benzaquen M, Flachaire B, Rouby F, et al. Paradoxical pustular psoriasis induced by ustekinumab in a patient with Crohn’s disease-associated spondyloarthropathy. Rheumatol Int. 2018;38:1297–1299. doi: 10.1007/s00296-018-4034-0
  • Wenk KS, Claros JM, Ehrlich A. Flare of pustular psoriasis after initiating ustekinumab therapy. J Dermatolog Treat. 2012;23:212–214. doi: 10.3109/09546634.2010.534430
  • Huang YW, Tsai TF. The seroconversion rate of QuantiFERON-TB gold in-tube test in psoriatic patients receiving anti-interleukin-23 monoclonal antibodies. Dermatol Sinica. 2022;40:94–99. doi: 10.4103/ds.ds_18_22
  • Bachelez H, Choon S-E, Marrakchi S, et al. Inhibition of the interleukin-36 pathway for the treatment of generalized pustular psoriasis. N Engl J Med. 2019;380:981–983. doi: 10.1056/nejmc1811317
  • Bachelez H, Choon S-E, Marrakchi S, et al. Trial of spesolimab for generalized pustular psoriasis. N Engl J Med. 2021;385:2431–2440. doi: 10.1056/nejmoa2111563
  • Elewski BE, Lebwohl MG, Anadkat MJ, et al. Rapid and sustained improvements in generalized pustular psoriasis physician global assessment scores with spesolimab for treatment of generalized pustular psoriasis flares in the randomized, placebo-controlled Effisayil 1 study. J Am Acad Dermatol. 2023;89:36–44. doi: 10.1016/j.jaad.2023.02.040
  • Burden AD, Okubo Y, Zheng M, et al. Efficacy of spesolimab for the treatment of generalized pustular psoriasis flares across pre-specified patient subgroups in the effisayil 1 study. Exp Dermatol. 2023;32:1279–1283. doi: 10.1111/exd.14824
  • Choon SE, Lebwohl MG, Marrakchi S, et al. Study protocol of the global effisayil 1 phase II, multicentre, randomised, double-blind, placebo-controlled trial of spesolimab in patients with generalized pustular psoriasis presenting with an acute flare. BMJ Open. 2021;11:e043666. doi: 10.1136/bmjopen-2020-043666
  • Hsieh CY, Huang YW, Huang YH, et al. Deficiency of interleukin-36 receptor antagonist (DITRA): an analysis of 58 Chinese patients in a tertiary hospital in Taiwan. Exp Dermatol. 2023;32:1272–1278. doi: 10.1111/exd.14783
  • Wang TS, Chiu HY, Hong JB, et al. Correlation of IL36RN mutation with different clinical features of pustular psoriasis in Chinese patients. Arch Dermatol Res. 2016;308:55–63. doi: 10.1007/s00403-015-1611-x
  • Choon SE, Tok PSK, Wong KW, et al. Clinical profile of patients with acute generalized pustular psoriasis with and without IL36RN mutations in multi-ethnic Johor Bahru, Malaysia. Exp Dermatol. 2023;32:1263–1271. doi: 10.1111/EXD.14776
  • Hsieh CH, Tsai TF. Treatment rescponses of four different biologics in a patient with recurrent generalized pustular psoriasis harboring IL36RN mutation. Dermatol Sin. 2023. doi: 10.4103/ds.DS-D-23-00107
  • Warren RB, Reich A, Kaszuba A, et al. Imsidolimab, an anti-il-36 receptor monoclonal antibody for the treatment of generalised pustular psoriasis: results from the phase 2 GALLOP trial. Br J Dermatol. 2023;189:161–169. doi: 10.1093/bjd/ljad083
  • David Burden A, Okubo Y, Zheng M, et al. Effect of the presence or absence of genetic mutations on spesolimab efficacy in patients with generalized pustular psoriasis (GPP). 31st European Academy of Dermatology and Venereology (EADV) Congress:Milan Italy; 2022. n.d.
  • Imsidolimab, top-line Phase 3 results from the GEMINI-1 trial. 2023 [cited 2023 Oct 11]. Available from: https://www.anaptysbio.com/pipeline/imsidolimab/
  • Saeki H, Mabuchi T, Asahina A, et al. English version of Japanese guidance for use of biologics for psoriasis (the 2022 version). J Dermatol. 2023;50:e41–e68. doi: 10.1111/1346-8138.16691
  • Kamiya K, Ohtsuki M. Epidemiological survey of patients with pustular psoriasis in the Japanese Society for Psoriasis Research from 2017 to 2020. J Dermatol. 2023;50:3–11. doi: 10.1111/1346-8138.16583
  • Miyachi H, Konishi T, Kumazawa R, et al. Treatments and outcomes of generalized pustular psoriasis: a cohort of 1516 patients in a nationwide inpatient database in Japan. J Am Acad Dermatol. 2022;86:1266–1274. doi: 10.1016/j.jaad.2021.06.008
  • Abduelmula A, Rankin BD, Sood S, et al. Management of adult generalized pustular psoriasis using biologics: a systematic review. J Am Acad Dermatol. 2023;89:417–419. doi: 10.1016/J.JAAD.2023.04.031
  • Kodali N, Blanchard I, Kunamneni S, et al. Current management of generalized pustular psoriasis. Exp Dermatol. 2023;32:1204–1218. doi: 10.1111/exd.14765
  • Rivera-Díaz R, Daudén E, Carrascosa JM, et al. Generalized pustular psoriasis: a review on clinical characteristics, diagnosis, and treatment. Dermatol Ther. 2023;13:673–688. doi: 10.1007/s13555-022-00881-0
  • Kromer C, Loewe E, Schaarschmidt ML, et al. Drug survival in the treatment of generalized pustular psoriasis: a retrospective multicenter study. Dermatol Ther. 2021;34:e14814. doi: 10.1111/dth.14814
  • Iznardo H, Puig L, Narbutt J, et al. Exploring the role of IL-36 cytokines as a new target in psoriatic disease. Int J Mol Sci. 2021;22:4344. doi: 10.3390/IJMS22094344
  • Seishima M, Fujii K, Mizutani Y. Generalized pustular psoriasis in pregnancy: current and future treatments. Am J Clin Dermatol. 2022;23:661–671. doi: 10.1007/s40257-022-00698-9
  • Kawai Y, Tsuchiya T, Aoki S. Pregnancy outcomes of patients exposed to adalimumab in Japan. Dig Dis. 2019;37:123–130. doi: 10.1159/000493462
  • Dernoncourt A, Liabeuf S, Bennis Y, et al. Fetal and neonatal adverse drug reactions associated with biologics taken during pregnancy by women with autoimmune diseases: insights from an analysis of the World Health Organization pharmacovigilance database (VigiBase®). BioDrugs. 2023;37:73–87. doi: 10.1007/s40259-022-00564-4
  • Narbutt J, Niedźwiedź M, Skibińska M, et al. Secukinumab for the treatment of psoriasis in pediatrics: patient selection and acceptability. Patient Prefer Adherence. 2023;17:421. doi: 10.2147/PPA.S350753
  • Hospach T, Glowatzki F, Blankenburg F, et al. Scoping review of biological treatment of deficiency of interleukin-36 receptor antagonist (DITRA) in children and adolescents. Pediatr Rheumatol Online J. 2019;17:17. doi: 10.1186/s12969-019-0338-1

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