Development of monoclonal gammopathy under biotherapy in psoriasis: a French multicenter retrospective study View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2016-01

AUTHORS

Anne-Laure Liegeon, Emmanuel Mahe, Edouard Begon, Claire Poreaux, Annick Barbaud, Eric Esteve, Nathalie Quiles-Tsimaratos, Martine Avenel-Audran, Amélie Schoeffler, Laure Mery-Bossard, Christine Pauwels, Céline Girard, Hervé Maillard, Dominique Barthelme, Claire Bernier, Guillaume Chaby, Ziad Reguiai, Phi Linh Nguyen-Thi, François Maccari, Jean-Luc Schmutz

ABSTRACT

BACKGROUND: Biotherapies or targeted therapies are fairly new treatments indicated for moderate to severe psoriasis. The side effects appear to be mainly infectious or cancerous. The role of biotherapies in the development of a pre-cancerous condition, monoclonal gammopathy of undetermined significance (MGUS), has recently been debated in the literature. OBJECTIVES: To evaluate the incidence of MGUS in psoriasis patients treated with biotherapy. MATERIALS AND METHODS: This study was a French multicenter retrospective study carried out through the French multicenter study group RESOPSO. Data on the results of serum protein electrophoreses performed before and within at least six months after the start of the biotherapy were collected. Demographic data, medical history, and psoriasis treatment history were specified. RESULTS: Four hundred and forty three patients were eligible for inclusion. Of these, three presented with monoclonal gammopathy for which the assessment was in favor of MGUS. The average treatment period was 19.7 months. Six patients presented with MGUS prior to the treatment. These patients' immunoglobulin levels remained stable, with an average remission of 24 months. Only psoriatic rheumatism appeared to be statistically linked to MGUS. CONCLUSION: The incidence and frequency of MGUS in psoriasis patients treated with biotherapy do not appear to increase relative to the general population. More... »

PAGES

75-81

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1684/ejd.2015.2700

DOI

http://dx.doi.org/10.1684/ejd.2015.2700

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1020998322

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/26878712


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317 schema:name Dermatology department, Hôpitaux de brabois, Bâtiment des spécialités médicales Philippe Canton, Rue du Morvan, 54511, Vandoeuvre les Nancy, France
318 Epidemiology and clinical studies department, ESPRI, CHU Nancy, Nancy, France
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320 https://www.grid.ac/institutes/grid.411147.6 schema:alternateName Centre Hospitalier Universitaire de Angers
321 schema:name Dermatology department, CHU Angers, Angers, France
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323 https://www.grid.ac/institutes/grid.413932.e schema:alternateName Centre hospitalier régional d'Orléans
324 schema:name Dermatology department, CHR Orléans, Orléans, France
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326 https://www.grid.ac/institutes/grid.414364.0 schema:alternateName Hôpital Saint Joseph
327 schema:name Dermatology department, Hôpital Saint Joseph, Marseille, France
328 rdf:type schema:Organization
329 https://www.grid.ac/institutes/grid.414474.6 schema:alternateName Centre Hospitalier Victor Dupouy
330 schema:name Dermatology department, Hôpital Victor Dupouy, Argenteuil, France
331 rdf:type schema:Organization
332 https://www.grid.ac/institutes/grid.418061.a schema:alternateName Centre Hospitalier du Mans
333 schema:name Dermatology department, CH Le Mans, Le Mans, France
334 rdf:type schema:Organization
335 https://www.grid.ac/institutes/grid.489915.8 schema:alternateName Centre Hospitalier Régional de Metz-Thionville
336 schema:name Dermatology department, CHR Metz-Thionville, Thionville, France
337 rdf:type schema:Organization
 




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