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Case Reports

 

Treatment of psoriasis with ustekinumab improved skin tightening in systemic sclerosis


1, 2, 3

 

  1. Department of Dermatology and Plastic Surgery, Faculty of Life Sciences, Kumamoto University, Kumamoto, Japan. asa812ichi@yahoo.co.jp
  2. Department of Dermatology and Plastic Surgery, Faculty of Life Sciences, Kumamoto University, Kumamoto, Japan.
  3. Department of Dermatology and Plastic Surgery, Faculty of Life Sciences, Kumamoto University, Kumamoto, Japan.

CER10014
2017 Vol.35, N°4 ,Suppl.106
PI 0208, PF 0210
Case Reports

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PMID: 28422002 [PubMed]

Received: 12/10/2016
Accepted : 23/01/2017
In Press: 19/04/2017
Published: 12/10/2017

Abstract

Systemic sclerosis (SSc) is a chronic autoimmune disease characterised by fibrosis, inflammation and vasculopathy in the skin and internal organs. Recently, several articles described that Th17 cells, IL-23 and IL-17 levels were significantly elevated in the peripheral blood or fibrotic sites of SSc. We report a case of SSc and psoriasis administered ustekinumab, IL-12/IL-23 inhibitor. In this case, the skin tightening was successfully improved and ustekinumab was more effective, even though oral prednisolone (9-12 mg/day) had some effect on skin tightening and arthralgia. We consider that inhibition of Th17 cytokines may lead to therapeutic efficacy against SSc. Ustekinumab has the potential for a treatment option of SSc.

Rheumatology Article