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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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