The Safety of Systemic Treatments That Can Be Used for Geriatric Psoriasis Patients: A Review

Background. Patients with moderate-to-severe psoriasis are often treated with systemic immunosuppressant agents that decrease immune system function. For the elderly, these medications are often problematic due to their already immunosuppressed state and comorbidities. However, there are few studies...

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Main Authors: Jillian W. Wong, John Y. M. Koo
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Dermatology Research and Practice
Online Access:http://dx.doi.org/10.1155/2012/367475
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author Jillian W. Wong
John Y. M. Koo
author_facet Jillian W. Wong
John Y. M. Koo
author_sort Jillian W. Wong
collection DOAJ
description Background. Patients with moderate-to-severe psoriasis are often treated with systemic immunosuppressant agents that decrease immune system function. For the elderly, these medications are often problematic due to their already immunosuppressed state and comorbidities. However, there are few studies examining the effects of these medications on the elderly age group. Therefore, there is often discomfort among dermatologists treating elderly patients with psoriasis in utilizing systemic agents, frequently resulting in inadequate treatment. Objective. We review the safety profiles of systemic treatments often used to treat psoriasis and their possible adverse risks to the geriatric population. Methods. We conducted a search of PubMed’s Medline database of articles published from 2000 to 2011, which resulted in 14 articles. Conclusion. Treating geriatric patients with moderate-to-severe psoriasis remains a challenge due to immunosenescence and comorbidities. More studies focusing on psoriasis treatment safety in the geriatric population are needed.
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spelling doaj-art-24a3ba70c56d41dea9ac1636bc1d46872025-02-03T01:12:09ZengWileyDermatology Research and Practice1687-61051687-61132012-01-01201210.1155/2012/367475367475The Safety of Systemic Treatments That Can Be Used for Geriatric Psoriasis Patients: A ReviewJillian W. Wong0John Y. M. Koo1University of Utah School of Medicine, Salt Lake City, UT 84132, USAPsoriasis and Skin Treatment Center, Department of Dermatology, University of California, San Francisco (UCSF), San Francisco, CA 94118, USABackground. Patients with moderate-to-severe psoriasis are often treated with systemic immunosuppressant agents that decrease immune system function. For the elderly, these medications are often problematic due to their already immunosuppressed state and comorbidities. However, there are few studies examining the effects of these medications on the elderly age group. Therefore, there is often discomfort among dermatologists treating elderly patients with psoriasis in utilizing systemic agents, frequently resulting in inadequate treatment. Objective. We review the safety profiles of systemic treatments often used to treat psoriasis and their possible adverse risks to the geriatric population. Methods. We conducted a search of PubMed’s Medline database of articles published from 2000 to 2011, which resulted in 14 articles. Conclusion. Treating geriatric patients with moderate-to-severe psoriasis remains a challenge due to immunosenescence and comorbidities. More studies focusing on psoriasis treatment safety in the geriatric population are needed.http://dx.doi.org/10.1155/2012/367475
spellingShingle Jillian W. Wong
John Y. M. Koo
The Safety of Systemic Treatments That Can Be Used for Geriatric Psoriasis Patients: A Review
Dermatology Research and Practice
title The Safety of Systemic Treatments That Can Be Used for Geriatric Psoriasis Patients: A Review
title_full The Safety of Systemic Treatments That Can Be Used for Geriatric Psoriasis Patients: A Review
title_fullStr The Safety of Systemic Treatments That Can Be Used for Geriatric Psoriasis Patients: A Review
title_full_unstemmed The Safety of Systemic Treatments That Can Be Used for Geriatric Psoriasis Patients: A Review
title_short The Safety of Systemic Treatments That Can Be Used for Geriatric Psoriasis Patients: A Review
title_sort safety of systemic treatments that can be used for geriatric psoriasis patients a review
url http://dx.doi.org/10.1155/2012/367475
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