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Palmoplantar Psoriasis Successfully Treated With Risankizumab.

Abdulmajeed M Alajlan1, Tala A Qadoumi1

  • 1Dermatology, King Saud University Medical City, Riyadh, SAU.

Cureus
|September 30, 2021
PubMed
Summary

Palmoplantar psoriasis, affecting hands and feet, significantly impacts quality of life. This case report highlights successful treatment of resistant palmoplantar psoriasis using risankizumab, an anti-IL-23 antibody.

Keywords:
"psoriasisbiologic agentshealth related-quality of lifepalmoplantar psoriasispsoriasis treatmentrisankizumab

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Area of Science:

  • Dermatology
  • Immunology

Background:

  • Palmoplantar psoriasis is a debilitating variant of psoriasis affecting the palms and soles.
  • It significantly impacts patient quality of life and mental health, often proving resistant to conventional therapies.

Observation:

  • A male patient with a 15-year history of psoriasis and severe palmoplantar involvement showed minimal response to topical, acitretin, and adalimumab treatments.
  • The patient's condition was refractory to multiple established treatment modalities.

Findings:

  • Treatment with risankizumab, a selective anti-interleukin-23 (IL-23) antibody, led to complete resolution of palmoplantar lesions.
  • Complete clinical remission was achieved after the fourth dose of risankizumab.

Implications:

  • Risankizumab demonstrates significant efficacy in managing treatment-resistant palmoplantar psoriasis.
  • This suggests a potential new therapeutic avenue for patients with severe palmoplantar psoriasis unresponsive to other treatments.