Adalimumab vs Etanercept in Quality of Life Improvement

Adalimumab showed a slightly higher reduction in PASI after 1 year, however it proved an equivalent efficacy to Etanercept after an extensive follow-up (up to 5 years) Contrarily to etanercept, adalimumab patients showed a progressive improvement with DLQI (84 to 77) For both groups, sustained response (PASI75 maintenance of results 60 months after initiation of…

Biologic Therapy for Psoriasis: Paradoxical Reactivation of Psoriasis on Infliximab

Infliximab is an anti-TNF biologic It is used in the treatment of rheumatoid arthritis, psoriasis and inflammatory bowel disease A case report from Spain: 32 year old female known for Crohn’s disease no response to mesalazine and systemic corticosteroids was subsequently put on infliximab at a dosage 5mg/kg for a duration of 10 years she…

Treatment of Childhood Acne

Incidence of Acne in the first 20 years of life: -3% of affected individuals are neonates -6% in childhood (pre-adolescents) -91% in teenagers (adolescents…predictably)   Thorough examination must be done in children to rule out differential diagnosis: -keratosis pilaris -miliara -perorificial dermatatis -pomade acne (cosmetic use) -flat warts -molluscum contagiosum   Scarring is a complication…

Androgenetic Alopecia Treatment with Platelet Rich Plasma (PRP)

Androgenetic alopecia is an often hereditary condition with thinning of the hair into vellus hairs which occurs in males and females according to a male pattern (Hamilton classification) or a female pattern (ludwig classification) It is psychologically devastating and treatments include topical (minoxidil), oral (finasteride) treatments sometimes so ineffective that the only solution is wearing…

Manifestations cutanées des connectivites mixtes (ou connectivite mixte) (CM) (Mixed Connective Tissue Disease (MCTD)) (Pour les professionnels)

One of the autoimmune systemic diseases which have extensive skin manifestations is mixed connective tissue disease or MCTD. This disorder is a combination of other autoimmune diseases such as lupus erythematosus, systemic sclerosis and polymyositis. The cause of this disorder is not completely known but is stipulated to be an effect of one’s immune system…