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. 2023 Jul 7;10:1208817. doi: 10.3389/fmed.2023.1208817

Table 1.

Reported cases of concomitant psoriasis and hidradenitis suppurativa.

Authors, reference number and year Type of study Patient no./Sex/Age (year) Clinical course Diseases severity Previous treatment for HS Previous treatments for psoriasis/PsA Treatment for concomitant psoriasis/PsA and HS Outcome
Yen et al. (24) Case series 1/M/66
2/M/57
3/M/46
1/Psoriasis arising before HS
2/Psoriasis and PsA arising before HS
3/Psoriasis and PsA arising before HS
1/PASI 28.9; HS-PGA 4
2/PASI 23.4; HS-PGA 3
3/PASI 11.8; HS-PGA 3
1/Oral cefadroxil, topical gentamicin
2/Oral amoxicillin/clavulanate potassium
3/Oral cefadroxil
1/Acitretin 25 mg/day
Methotrexate 7.5 mg/week
Cyclosporine 200 mg/day
NB-UVB phototherapy
2/Methotrexate 15 mg/week
Sulfasalazine 1,000 mg/day
Celecoxib 200 mg/day
3/Leflunomide 20 mg/day
Acitretin 10 mg/day
Cyclosporine 300 mg/day
NB-UVB phototherapy
Adalimumab 80 mg on day, followed by 40 mg on day 8, and then every 2 weeks 3 months:
1/PASI 5.6; HS-PGA 0
2/PASI 1; HS-PGA 1
3/PASI 2.2; HS-PGA 1
Giuseppe et al. (23) Case report M/37 Psoriasis arising before HS Both moderate Oral rifampicin and clindamycin Cyclosporine
Infliximab 5 mg/kg
Secukinumab 300 mg in weeks 0, 1, 2, 3, 4 and then every 4 weeks 1 month:
Regression of the abscesses and improvement of psoriatic lesions
Gadelha et al. (22) Case report F/22 PsAPASH and psoriasis of the scalp Hurley stage III, Sartorius score 55 Clindamycin 300 mg every 8 h and metformin 500 mg twice daily Capillary solution of salicylic acid and betamethasone dipropionate and antisecretory shampoo Adalimumab 160 mg at week 0, 80 mg at week 2, 40 mg every week 2 months:
Sartorius score 49
Tampouratzi et al. (21) Case series 1/F/27
2/M/42
1/Psoriasis and PsA arising before HS
2/Psoriasis and PsA arising before HS
1/PASI 10.5, BSA 10%; Hurley stage II, IHS4 10
2/PASI 18.5, BSA 45%; Hurley stage II, IHS4 10
1/Topical steroids
Methotrexate
Apremilast
2/ Cyclosporine
Methotrexate
Golimumab
Adalimumab
Ustekinumam
Secukinumab
1/Topical steroids
Methotrexate
Apremilast
2/ Cyclosporine
Methotrexate
Golimumab
Adalimumab
Ustekinumam
Secukinumab
1/Certolizumab pegol 400 mg at week 0 and then every 2 weeks
2/Brodalumab 210 mg at week 0, 1, 2 and then every 2 weeks
3 months:
1/PASI 1, BSA 2%; IHS4 1
4 months:
2/PASI 1.5, BSA 8%; IHS4 3
Proietti et al. (20) Case report M/35 Psoriasis, HS, and recent history of SAMPUS PASI 10.2; Hurley stage III, HS-PGA 3 Antibiotics and retinoids Not reported Apremilast 30 mg twice daily 3 months:
PASI 2.5, HS-PGA 2
Lanna et al. (19) Case report M/55 HS arising before psoriasis PASI 20, BSA 25%; Hurley stage II Not reported Not reported Apremilast 30 mg twice daily 1 months:
PASI 1; Hurley stage 0-I
Navarro-Triviño et al. (18) Case report M/58 Secukinumab-induced paradoxical HS arising in a patient with psoriasis and PsA PASI 0; Hurley stage II None (HS was a paradoxical reaction to Secukinumab) Etanercept
Adalimumab
Secukinumab
Ustekinumab 45 mg 4 months:
PASI 0; Hurley stage II
Vellaichamy et a (17). Case report F/27 Adalimumab-induced paradoxical HS arising in a patient with psoriasis and vitiligo PASI 0; Hurley stage II-III None Topical treatments
Apremilast
Adalimumab
Adalimumab dosing increased to weekly and then stopped due to the onset of T-cell/histiocyte-rich large B-cell lymphoma (THRLBCL) 6 months:
PASI 0; Hurley stage II-III
Yoshida et al. (16) Case report M/47 Psoriasis and HS PASI 10.8; Hurley stage III, modified Sartorius score 102 Antibiotics and stab incision drainage Topical steroids Brodalumab 210 mg weekly for 2 weeks and then every 2 weeks 8 months:
PASI 0; Hurley stage II, modified Sartorius score 30
Licata et al. (15) Case report M/50 Psoriasis arising before HS PASI 25, BSA 20%; Hurley stage II Cyclosporine 4 mg/kg/day Metotrexate 20 mg/week Adalimumab 40 mg/week Cyclosporine 4 mg/kg/day Metotrexate 20 mg/week Adalimumab 40 mg/week Risankizumab 150 mg at weeks 0, 4, and every 12 weeks thereafter 4 months:
PASI 0, BSA 0; Hurley stage 0
Garcovich et al. (14) Case series 1/M/73
2/M/51
1/Psoriasis, PsA and HS
2/Psoriasis, PsA and HS
1/PASI 5; DAPSA 55; Hurley stage III, HS-PGA 4
2/DAPSA 48.2; Hurley stage III, HS-PGA 5
1/Tetracyclines, rifampicin, and clyndamicin
2/Carbapenems, Cotrimaxozole Beta-lactams
Cyclosporine
Steroids
Methotrexate
Retinoids
Infliximab
Etanercept Adalimumab Secukinumab
1/Systemic steroids and NSAIDs
2/Carbapenems, cotrimaxozole, beta-lactams
Cyclosporine
Steroids
Methotrexate
Retinoids
Infliximab
Etanercept
Adalimumab
Secukinumab
1/Apremilast 30 mg twice daily
2/Apremilast 30 mg twice daily
4 months:
1/DAPSA 12.8; HS-PGA 2
2/DAPSA 16.7; HS-PGA 3
Gkini and Bewley (13) Case report F/19 Ustekinumab-induced paradoxical HS arising in a patient with psoriasis PASI 13, Hurley stage III Flucloxacillin, minocycline 100 mg/day, incisional drainage Topical and conventional systemic drugs
Ustekinumab 45 mg/3 months
Adalimumab 40 mg/week and surgery 6 months:
Improvement (PASI and Hurley stage not reported)
Odorici et al. (12) Case report M/46 Secukinumab-induced paradoxical HS arising in a patient with psoriasis and PsA PASI 12; Sartorius score 54 None (HS was a paradoxical reaction to Secukinumab) Infliximab Etanercept. Adalimumab Secukinumab 300 mg/4 weeks Ixekizumab 160 mg at week 0, 80 mg every other week for 12 weeks, and then 80 mg every 4 weeks 5 months:
PASI: 2.2; Sartorius score 16
Musumeci et al. (11) Case series 1/F/32
2/F/32
1/2/Adalimumab-induced paradoxical psoriasis arising in a patient with HS 1/PASI 5; Hurley stage III
2/PASI 7; Hurley stage II
1/2/Adalimumab 160 mg at week 0, 80 mg at week 2, 40 mg every week 1/2/None (Psoriasis was a paradoxical reaction to Adalimumab) 1/2Adalimumab discontinuation followed by treatment with topical steroids 3 months:
1/2/Improvement of psoriasis and no HS worsening (PASI and Hurley stage not reported)