Psoriasis and Seborrheic Keratoses: Insights from Biologic Therapy and Skin Imaging

Psoriasis is one of the most frequent immune-mediated chronic inflammatory cutaneous disease that exerts a considerable psychological impact, including low self-esteem, stigmatization, and depression. In recent years, biologic therapies have substantially transformed the therapeutic landscape for in...

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Main Authors: Florin Ciprian Bujoreanu, Diana Sabina Radaschin, Mihail Alexandru Badea, Laura Bujoreanu Bezman, Carmen Pantiș, Carmen Tiutiuca, Liliana Baroiu, Elena Niculeț, Alina Pleșea Condratovici, Alin Laurențiu Tatu
Format: Article
Language:English
Published: MDPI AG 2025-03-01
Series:Life
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Online Access:https://www.mdpi.com/2075-1729/15/3/485
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author Florin Ciprian Bujoreanu
Diana Sabina Radaschin
Mihail Alexandru Badea
Laura Bujoreanu Bezman
Carmen Pantiș
Carmen Tiutiuca
Liliana Baroiu
Elena Niculeț
Alina Pleșea Condratovici
Alin Laurențiu Tatu
author_facet Florin Ciprian Bujoreanu
Diana Sabina Radaschin
Mihail Alexandru Badea
Laura Bujoreanu Bezman
Carmen Pantiș
Carmen Tiutiuca
Liliana Baroiu
Elena Niculeț
Alina Pleșea Condratovici
Alin Laurențiu Tatu
author_sort Florin Ciprian Bujoreanu
collection DOAJ
description Psoriasis is one of the most frequent immune-mediated chronic inflammatory cutaneous disease that exerts a considerable psychological impact, including low self-esteem, stigmatization, and depression. In recent years, biologic therapies have substantially transformed the therapeutic landscape for individuals with moderate-to-severe psoriasis, shifting treatment towards a more targeted and personalized approach. Seborrheic keratoses (SKs) are common benign skin lesions, and their association with psoriasis and biologic therapy remains poorly understood. Our retrospective study evaluated a small cohort of patients with moderate-to-severe psoriasis undergoing biologic therapy at a tertiary dermatology center in Southeastern Europe to evaluate potential correlations with SK development. Smokers had fewer SKs, whereas postmenopausal women and osteoporosis patients had significantly higher SK counts, implicating hormonal influences. PUVA therapy was linked to an increased SK count, whereas UVB and methotrexate treatments had a lesser effect. These findings suggest that biologic therapy and systemic factors may influence SK development, emphasizing the need for further prospective research.
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spelling doaj-art-2ba2c38b9a5a48878c5a5cfe5b5dbe682025-08-20T02:11:21ZengMDPI AGLife2075-17292025-03-0115348510.3390/life15030485Psoriasis and Seborrheic Keratoses: Insights from Biologic Therapy and Skin ImagingFlorin Ciprian Bujoreanu0Diana Sabina Radaschin1Mihail Alexandru Badea2Laura Bujoreanu Bezman3Carmen Pantiș4Carmen Tiutiuca5Liliana Baroiu6Elena Niculeț7Alina Pleșea Condratovici8Alin Laurențiu Tatu9Department of Dermatology, “Saint Parascheva” Infectious Disease Clinical Hospital, 800179 Galati, RomaniaDepartment of Dermatology, “Saint Parascheva” Infectious Disease Clinical Hospital, 800179 Galati, RomaniaDepartment of Dermatology, University of Medicine, Pharmacy, Science and Technology “George Emil Palade” of Targu Mures, 540142 Targu Mures, RomaniaFaculty of Medicine and Pharmacy, “Dunarea de Jos” University of Galati, 800385 Galati, RomaniaDepartment of Surgical Disciplines, Faculty of Medicine and Pharmacy, University of Oradea, 1 University Street, 410087 Oradea, RomaniaFaculty of Medicine and Pharmacy, “Dunarea de Jos” University of Galati, 800385 Galati, RomaniaFaculty of Medicine and Pharmacy, “Dunarea de Jos” University of Galati, 800385 Galati, RomaniaFaculty of Medicine and Pharmacy, “Dunarea de Jos” University of Galati, 800385 Galati, RomaniaFaculty of Medicine and Pharmacy, “Dunarea de Jos” University of Galati, 800385 Galati, RomaniaDepartment of Dermatology, “Saint Parascheva” Infectious Disease Clinical Hospital, 800179 Galati, RomaniaPsoriasis is one of the most frequent immune-mediated chronic inflammatory cutaneous disease that exerts a considerable psychological impact, including low self-esteem, stigmatization, and depression. In recent years, biologic therapies have substantially transformed the therapeutic landscape for individuals with moderate-to-severe psoriasis, shifting treatment towards a more targeted and personalized approach. Seborrheic keratoses (SKs) are common benign skin lesions, and their association with psoriasis and biologic therapy remains poorly understood. Our retrospective study evaluated a small cohort of patients with moderate-to-severe psoriasis undergoing biologic therapy at a tertiary dermatology center in Southeastern Europe to evaluate potential correlations with SK development. Smokers had fewer SKs, whereas postmenopausal women and osteoporosis patients had significantly higher SK counts, implicating hormonal influences. PUVA therapy was linked to an increased SK count, whereas UVB and methotrexate treatments had a lesser effect. These findings suggest that biologic therapy and systemic factors may influence SK development, emphasizing the need for further prospective research.https://www.mdpi.com/2075-1729/15/3/485psoriasisbiological therapiesseborrheic keratosesreflectance confocal microscopydermoscopyskin cancer
spellingShingle Florin Ciprian Bujoreanu
Diana Sabina Radaschin
Mihail Alexandru Badea
Laura Bujoreanu Bezman
Carmen Pantiș
Carmen Tiutiuca
Liliana Baroiu
Elena Niculeț
Alina Pleșea Condratovici
Alin Laurențiu Tatu
Psoriasis and Seborrheic Keratoses: Insights from Biologic Therapy and Skin Imaging
Life
psoriasis
biological therapies
seborrheic keratoses
reflectance confocal microscopy
dermoscopy
skin cancer
title Psoriasis and Seborrheic Keratoses: Insights from Biologic Therapy and Skin Imaging
title_full Psoriasis and Seborrheic Keratoses: Insights from Biologic Therapy and Skin Imaging
title_fullStr Psoriasis and Seborrheic Keratoses: Insights from Biologic Therapy and Skin Imaging
title_full_unstemmed Psoriasis and Seborrheic Keratoses: Insights from Biologic Therapy and Skin Imaging
title_short Psoriasis and Seborrheic Keratoses: Insights from Biologic Therapy and Skin Imaging
title_sort psoriasis and seborrheic keratoses insights from biologic therapy and skin imaging
topic psoriasis
biological therapies
seborrheic keratoses
reflectance confocal microscopy
dermoscopy
skin cancer
url https://www.mdpi.com/2075-1729/15/3/485
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