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Poor early response to methotrexate portends inadequate long-term outcomes in patients with moderate-to-severe psoriasis: Evidence from 2 phase 3 clinical trials.
Author: BettsKeith A, GordonKenneth B, LiJunlong, OkunMartin M, SignorovitchJames E, SundaramMurali, WuEric Q, XieMeng
Original Abstract of the Article :
BACKGROUND: Most methotrexate-treated psoriasis patients do not achieve a long-term PASI75 (75% reduction from baseline Psoriasis Area and Severity Index score) response. Indications of nonresponse can be apparent after only 4 weeks of treatment. OBJECTIVE: To develop a prediction rule to identify ...See full text at original site
Dr.Camel's Paper Summary Blogラクダ博士について
ラクダ博士は、Health Journal が論文の内容を分かりやすく解説するために作成した架空のキャラクターです。
難解な医学論文を、専門知識のない方にも理解しやすいように、噛み砕いて説明することを目指しています。
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* ラクダ博士は架空のキャラクターであり、実際の医学研究者や医療従事者とは一切関係がありません。
* 解説の内容は Health Journal が独自に解釈・作成したものであり、原論文の著者または出版社の見解を反映するものではありません。
引用元:
https://doi.org/10.1016/j.jaad.2017.08.017
データ提供:米国国立医学図書館(NLM)
Methotrexate for Psoriasis: A Timely Assessment
Psoriasis is a chronic skin condition that can significantly impact a person's quality of life. Methotrexate is a commonly used medication for treating psoriasis, but not all patients respond adequately. This research investigates the use of a prediction rule to identify patients who are unlikely to respond adequately to methotrexate after just 4 weeks of treatment. The study found that patients who did not achieve a 25% improvement in their psoriasis symptoms (PASI25) after 4 weeks of methotrexate treatment were significantly less likely to achieve a 75% improvement (PASI75) after 16 weeks of treatment.
Predicting Psoriasis Treatment Response: A Four-Week Window
This research offers a valuable tool for predicting psoriasis treatment response. It's like finding a compass that can guide you through the desert of psoriasis treatment options. The study suggests that a four-week assessment of treatment response can be used to identify patients who are unlikely to benefit from continued methotrexate therapy. This allows for early adjustments to treatment plans and potentially avoids prolonged exposure to a medication that is unlikely to be effective.
Psoriasis Treatment: A Personalized Approach
The study highlights the importance of a personalized approach to psoriasis treatment. It's like tailoring a camel caravan to the specific needs of the journey. The study suggests that early assessment of treatment response can help identify patients who might benefit from alternative therapies.
Dr. Camel's Conclusion
This study shows that a quick glimpse into the desert of psoriasis treatment can reveal a lot about the journey ahead. A four-week assessment of methotrexate response can help guide treatment decisions and potentially lead to better outcomes for patients with psoriasis.
Date :
- Date Completed 2017-12-11
- Date Revised 2019-12-10
Further Info :
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