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  1. Article ; Online: Imsidolimab: an emerging biological therapy for generalized pustular psoriasis.

    Gleeson, David / Mahil, Satveer K

    The British journal of dermatology

    2023  Volume 189, Issue 2, Page(s) 153

    MeSH term(s) Humans ; Psoriasis/drug therapy ; Antibodies, Monoclonal ; Chronic Disease ; Acute Disease ; Biological Therapy
    Chemical Substances Antibodies, Monoclonal
    Language English
    Publishing date 2023-04-20
    Publishing country England
    Document type Editorial ; Comment
    ZDB-ID 80076-4
    ISSN 1365-2133 ; 0007-0963
    ISSN (online) 1365-2133
    ISSN 0007-0963
    DOI 10.1093/bjd/ljad128
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Spesolimab in the treatment of generalized pustular psoriasis: a critically appraised research paper.

    Ali, Fatima / Smith, Catherine H / Mahil, Satveer K

    The British journal of dermatology

    2023  Volume 188, Issue 3, Page(s) 328–329

    MeSH term(s) Humans ; Psoriasis ; Antibodies, Monoclonal, Humanized ; Chronic Disease ; Acute Disease
    Chemical Substances spesolimab (5IB2J79MCX) ; Antibodies, Monoclonal, Humanized
    Language English
    Publishing date 2023-02-10
    Publishing country England
    Document type Journal Article
    ZDB-ID 80076-4
    ISSN 1365-2133 ; 0007-0963
    ISSN (online) 1365-2133
    ISSN 0007-0963
    DOI 10.1093/bjd/ljac049
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: In chronic plaque psoriasis, roflumilast cream safely increased likelihood of clear or almost clear state at 6 weeks.

    Mahil, Satveer K / Smith, Catherine H

    Annals of internal medicine

    2020  Volume 173, Issue 10, Page(s) JC55

    Abstract: Source citation: Lebwohl MG, Papp KA, Stein Gold L, et al. ...

    Abstract Source citation: Lebwohl MG, Papp KA, Stein Gold L, et al.
    MeSH term(s) Aminopyridines/adverse effects ; Benzamides/adverse effects ; Cyclopropanes ; Humans ; Psoriasis/drug therapy ; Treatment Outcome
    Chemical Substances Aminopyridines ; Benzamides ; Cyclopropanes ; Roflumilast (0P6C6ZOP5U)
    Keywords covid19
    Language English
    Publishing date 2020-11-16
    Publishing country United States
    Document type Journal Article ; Comment
    ZDB-ID 336-0
    ISSN 1539-3704 ; 0003-4819
    ISSN (online) 1539-3704
    ISSN 0003-4819
    DOI 10.7326/ACPJ202011170-055
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: PSORIASIS: FROM GENE TO CLINIC CONGRESS REPORTInternational conference showcases cutting-edge psoriasis research.

    Mahil, Satveer K

    The Journal of clinical and aesthetic dermatology

    2015  Volume 8, Issue 7 Suppl 3, Page(s) 17–22

    Language English
    Publishing date 2015-04-22
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2571623-2
    ISSN 1941-2789
    ISSN 1941-2789
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: The Impact of Immune-Modifying Treatments for Skin Diseases on the Immune Response to COVID-19 Vaccines: a Narrative Review.

    Liew, Su-Yi / Tree, Timothy / Smith, Catherine H / Mahil, Satveer K

    Current dermatology reports

    2022  , Page(s) 1–26

    Abstract: Purpose of review: SARS-CoV-2 has had a devastating global effect, with vaccinations being paramount in the public health strategy against COVID-19. Vaccinations have uncoupled infection from adverse COVID-19 outcomes worldwide. While immune-modifying ... ...

    Abstract Purpose of review: SARS-CoV-2 has had a devastating global effect, with vaccinations being paramount in the public health strategy against COVID-19. Vaccinations have uncoupled infection from adverse COVID-19 outcomes worldwide. While immune-modifying therapies are effective for the management of skin diseases such as psoriasis and atopic dermatitis, these medications also impair protective immune responses. There has been longstanding uncertainty and concern over the impact of immune-modifying therapies on the effectiveness of vaccines; for example, it is well recognised that methotrexate impairs humoral responses to both influenza and pneumococcal vaccines. This narrative review aims to discuss the evidence to date on the impact of immune-modifying therapies on the immune response to COVID-19 vaccines, with a focus on the first two vaccine doses.
    Recent findings: Individuals receiving immune-modifying therapy are more likely to have attenuated humoral responses to a single dose of COVID-19 vaccine compared to healthy controls; however, this may be improved by a complete course of vaccination. B cell targeted biologics such as rituximab markedly impair the humoral response to both the first and second COVID-19 vaccination. There remains a paucity of data on cellular immune responses, with the few available studies indicating lower responses to two vaccine doses in individuals receiving immune-modifying therapies compared to healthy controls, which may impact the durability of immune responses.
    Summary: Inadequate humoral immune responses to a single dose of vaccine in the context of immune-modifying therapy are improved by a complete course of vaccination. Individuals receiving immune-modifying treatments should be encouraged to take up a complete vaccine course to mitigate their risk against COVID-19. Research in large patient populations on the longevity/kinetics of the complex humoral and cellular response to subsequent vaccine doses, including against newer variants of concern, is warranted, in addition to data on immune correlates of vaccine clinical effectiveness.
    Language English
    Publishing date 2022-10-25
    Publishing country United States
    Document type Journal Article ; Review
    ISSN 2162-4933
    ISSN 2162-4933
    DOI 10.1007/s13671-022-00376-3
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Psoriasis biologics: a new era of choice.

    Mahil, Satveer K / Smith, Catherine H

    Lancet (London, England)

    2019  Volume 394, Issue 10201, Page(s) 807–808

    MeSH term(s) Antibodies, Monoclonal ; Biological Products ; Humans ; Psoriasis
    Chemical Substances Antibodies, Monoclonal ; Biological Products ; guselkumab (089658A12D) ; secukinumab (DLG4EML025)
    Language English
    Publishing date 2019-08-08
    Publishing country England
    Document type Journal Article ; Comment
    ZDB-ID 3306-6
    ISSN 1474-547X ; 0023-7507 ; 0140-6736
    ISSN (online) 1474-547X
    ISSN 0023-7507 ; 0140-6736
    DOI 10.1016/S0140-6736(19)31772-6
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Psoriasis: a brief overview.

    Raharja, Antony / Mahil, Satveer K / Barker, Jonathan N

    Clinical medicine (London, England)

    2021  Volume 21, Issue 3, Page(s) 170–173

    Abstract: Psoriasis is a clinically heterogeneous lifelong skin disease that presents in multiple forms such as plaque, flexural, guttate, pustular or erythrodermic. An estimated 60 million people have psoriasis worldwide, with 1.52% of the general population ... ...

    Abstract Psoriasis is a clinically heterogeneous lifelong skin disease that presents in multiple forms such as plaque, flexural, guttate, pustular or erythrodermic. An estimated 60 million people have psoriasis worldwide, with 1.52% of the general population affected in the UK. An immune-mediated inflammatory disease, psoriasis has a major genetic component. Its association with psoriatic arthritis and increased rates of cardiometabolic, hepatic and psychological comorbidity requires a holistic and multidisciplinary care approach. Psoriasis treatments include topical agents (vitamin D analogues and corticosteroids), phototherapy (narrowband ultraviolet B radiation (NB-UVB) and psoralen and ultraviolet A radiation (PUVA)), standard systemic (methotrexate, ciclosporin and acitretin), biologic (tumour necrosis factor (TNF), interleukin (IL)-17 and IL-23 inhibitors) or small molecule inhibitor (dimethyl fumarate and apremilast) therapies. Advances in the understanding of its pathophysiology have led to development of highly effective and targeted treatments.
    MeSH term(s) Acitretin ; Humans ; Immunosuppressive Agents ; Methotrexate ; Phototherapy ; Psoriasis/epidemiology ; Psoriasis/therapy
    Chemical Substances Immunosuppressive Agents ; Acitretin (LCH760E9T7) ; Methotrexate (YL5FZ2Y5U1)
    Language English
    Publishing date 2021-05-16
    Publishing country England
    Document type Journal Article
    ZDB-ID 2048646-7
    ISSN 1473-4893 ; 1470-2118
    ISSN (online) 1473-4893
    ISSN 1470-2118
    DOI 10.7861/clinmed.2021-0257
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: In chronic plaque psoriasis, roflumilast cream safely increased likelihood of clear or almost clear state at 6 weeks

    Mahil, Satveer K / Smith, Catherine H

    Ann Intern Med

    Abstract: SOURCE CITATION: Lebwohl MG, Papp KA, Stein Gold L, et al. Trial of roflumilast cream for chronic plaque psoriasis. N Engl J Med. 2020;383:229-39. 32668113. ...

    Abstract SOURCE CITATION: Lebwohl MG, Papp KA, Stein Gold L, et al. Trial of roflumilast cream for chronic plaque psoriasis. N Engl J Med. 2020;383:229-39. 32668113.
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #33197348
    Database COVID19

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  9. Article ; Online: Are Janus kinase inhibitors an effective treatment for palmoplantar pustulosis? A critically appraised topic.

    Gleeson, David / Barker, Jonathan N W N / Capon, Francesca / Pink, Andrew E / Woolf, Richard T / Smith, Catherine H / Mahil, Satveer K

    The British journal of dermatology

    2023  Volume 188, Issue 4, Page(s) 471–473

    MeSH term(s) Humans ; Janus Kinase Inhibitors/therapeutic use ; Psoriasis/drug therapy ; Exanthema ; Chronic Disease ; Treatment Outcome
    Chemical Substances Janus Kinase Inhibitors
    Language English
    Publishing date 2023-01-28
    Publishing country England
    Document type Journal Article
    ZDB-ID 80076-4
    ISSN 1365-2133 ; 0007-0963
    ISSN (online) 1365-2133
    ISSN 0007-0963
    DOI 10.1093/bjd/ljac130
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Acceptability of 'as needed' biologic therapy in psoriasis: insights from a multi-stakeholder mixed methods study.

    Gleeson, David / Naveed, Maneeha / Moorhead, Lucy / McAteer, Helen / Sewell, Georgia / McGuire, Arlene / Weinman, John / Barker, Jonathan N W N / Norton, Sam / Chapman, Sarah C E / Smith, Catherine H / Mahil, Satveer K

    The British journal of dermatology

    2024  

    Abstract: Objectives: Biologic therapies have led to increasing numbers of patients with psoriasis who have clear or nearly clear skin. Current practice is that biologic therapy is continued indefinitely in these patients, contributing to a substantial long-term ... ...

    Abstract Objectives: Biologic therapies have led to increasing numbers of patients with psoriasis who have clear or nearly clear skin. Current practice is that biologic therapy is continued indefinitely in these patients, contributing to a substantial long-term drug and healthcare burden. 'As needed' biologic therapy in psoriasis may address this, however our understanding of patient and clinician perceptions of this strategy is limited.
    Methods: We first conducted UK-wide online scoping surveys of patients with psoriasis and dermatology clinicians to explore their views on 'as needed' biologic therapy. Using topic guides informed by these survey findings, we then carried out qualitative focus groups with patients and clinicians. Themes were identified using reflexive thematic analysis.
    Results: Of 67 patients and 27 clinicians completing the scoping surveys, 67% (43/64) and 78% (21/27), respectively, supported the use of 'as needed' biologic therapy. Respondents highlighted advantages such as a reduction in healthcare burden and greater ownership of care. Challenges included logistics of 'as needed' drug provision and potential risks of disease flare and drug immunogenicity. Focus groups comprised 15 patients with psoriasis (9 female [60%], average disease duration 32 years [range 9-64 years]) and 9 dermatology clinicians (8 female [89%], average dermatology experience 20 years [range 8-33 years]). Both patients and clinicians felt that an 'as needed' treatment approach will deliver a reduction in treatment burden and present an opportunity for patient-led ownership of care. Both groups highlighted the importance of ensuring ongoing access to medication and discussing the potential impact of psoriasis recurrence. Patient preferences were influenced by their lived experiences, particularly previous difficulties with medication delivery logistics and establishing disease control. Clinician perspectives were informed by personal experience of their patients adapting their own dosing schedules. Clinicians highlighted the importance of targeted patient selection for an 'as needed' approach, ongoing disease monitoring, and prompt re-access to medications upon psoriasis recurrence.
    Conclusion: These data indicate that 'as needed' biologic therapy in psoriasis is acceptable for both patients and clinicians. Formal assessment of clinical effectiveness and cost effectiveness is warranted, to enable the real-world potential of this approach to be realised.
    Language English
    Publishing date 2024-02-17
    Publishing country England
    Document type Journal Article
    ZDB-ID 80076-4
    ISSN 1365-2133 ; 0007-0963
    ISSN (online) 1365-2133
    ISSN 0007-0963
    DOI 10.1093/bjd/ljae068
    Database MEDical Literature Analysis and Retrieval System OnLINE

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