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) |