Biologic Therapy in the Treatment of Chronic Skin Disorders

Immunol Allergy Clin North Am. 2017 May;37(2):315-327. doi: 10.1016/j.iac.2017.01.006. Epub 2017 Mar 1.

Abstract

Understanding of the immunologic pathways involved in the pathogenesis of skin-related diseases is constantly advancing. Several biologic agents play important therapeutic roles for management of patients with chronic urticaria, atopic dermatitis, and psoriasis, particularly omalizumab for antihistamine-resistant chronic urticaria, interleukin (IL)-1 inhibitors for cryopyrin-associated periodic syndrome and Schnitzler syndrome, dupilumab for recalcitrant atopic dermatitis, and IL-17 inhibitors for psoriasis. The therapeutic utility of biologic agents for patients with immune-related dermatologic disorders is likely to expand in the future. This article reviews the data regarding biologic agents and their utility in the management of specific skin-related disorders.

Keywords: Angioedema; Atopic dermatitis; Biologic agents; Dupilimab; Omalizumab; Psoriasis; Urticaria.

Publication types

  • Review

MeSH terms

  • Anti-Allergic Agents / administration & dosage
  • Anti-Allergic Agents / adverse effects
  • Anti-Allergic Agents / therapeutic use
  • Biological Products / administration & dosage
  • Biological Products / adverse effects
  • Biological Products / therapeutic use
  • Biological Therapy* / adverse effects
  • Biological Therapy* / methods
  • Chronic Disease
  • Clinical Trials as Topic
  • Humans
  • Immunologic Factors / administration & dosage
  • Immunologic Factors / adverse effects
  • Immunologic Factors / therapeutic use
  • Molecular Targeted Therapy
  • Omalizumab / administration & dosage
  • Omalizumab / adverse effects
  • Omalizumab / therapeutic use
  • Skin Diseases / diagnosis
  • Skin Diseases / etiology
  • Skin Diseases / therapy*
  • Treatment Outcome

Substances

  • Anti-Allergic Agents
  • Biological Products
  • Immunologic Factors
  • Omalizumab