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Safety of Systemic Biologic Agents in the Treatment of Non-malignant Skin Disorders.
George Badavanis1, Efstathia Pasmatzi1, Alexandra Monastirli2
1Department of Dermatology, School of Medicine, University of Patras, Patra,Greece.
Biologic agents offer advanced treatment for immune-mediated inflammatory disorders but carry risks. This review details the cutaneous and systemic side effects of these important dermatotherapy drugs.
Area of Science:
- Immunology
- Dermatology
- Pharmacology
Background:
- Biologic agents target specific immune pathways for inflammatory disorders like psoriasis.
- These targeted therapies have become crucial in modern dermatotherapy, offering alternatives for treatment-resistant patients.
- The increased use of biologics necessitates a thorough understanding of their safety profiles.
Purpose of the Study:
- To review the cutaneous and systemic side effects of all biologic agents used in systemic dermatotherapy.
- To enhance clinician awareness of the safety risks associated with biologics.
- To support informed, personalized drug selection and therapeutic decisions.
Main Methods:
- Literature review based on Medline and Scopus databases.
- Inclusion of data from manufacturing companies.
- Comprehensive analysis of reported side effects for all utilized biologic agents.
Main Results:
- Biologic agents, while effective, are associated with significant immunosuppressive potential.
- Serious and potentially fatal side effects have been reported, leading to drug withdrawals.
- A wide spectrum of cutaneous and systemic adverse events requires careful monitoring.
Conclusions:
- Understanding the full range of biologic side effects is critical for safe dermatologic practice.
- Clinicians must be vigilant in monitoring patients for adverse events.
- Personalized risk-benefit assessment is essential for optimal patient outcomes with biologic therapies.
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