Safety of therapies using ustekinumab in patients with psoriasis who have had HBV infection
Dermatologic Therapy Dec 23, 2021
Kłujszo EH, Zarębska-Michaluk D, Kręcisz B, et al. - Ustekinumab (UST; a biologic agent) therapy appears to be a safe choice for patients with resolved HBV infection. This inference was drawn considering both the available literature and results from observations.
Biological therapies employed to treat psoriasis pose a risk of reactivation of HBV infection.
This retrospective analysis included 106 patients with moderate to severe psoriasis treated with biological therapy; of these, 5 patients reported having past HBV.
All 5 patients received UST.
In this cohort, resolved HBV infection was detected in 5 patients: HBsAg (-), HBcAb (+) and HBV DNA (-); 4/5 were HBsAb (+) and 1/5 HBsAb.
Rise in LFTs values was not seen in any of the cases, and no signs of hepatitis or HBV reactivation were found at any point during the study.
At the end of the follow up span, all cases were HBsAg and HBV DNA negative.
Average treatment time and average follow up time was 82.4 (28, 96) weeks and 75.2 (31, 176) weeks, respectively.
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