Chinese Journal of Dermatology ›› 2022, Vol. 55 ›› Issue (9): 821-824.doi: 10.35541/cjd.20200251

• Reviews • Previous Articles     Next Articles

Tumor necrosis factor-α inhibitor?induced psoriasis

Sun Jie, Wang Rui, Li Chengxin   

  1. Department of Dermatology, The First Medical Center of Chinese PLA General Hospital, Beijing 100853, China
  • Received:2020-03-13 Revised:2021-01-07 Online:2022-09-15 Published:2022-09-02
  • Contact: Li Chengxin E-mail:chengxinderm@163.com
  • Supported by:
    National Natural Science Foundation of China(81972936); Capital Clinical Characteristic Application Research (Z181100001718038); Science and Technology Innovation Nursery Fund of Chinese PLA General Hospital (18KMM10)

Abstract: 【Abstract】    Tumor necrosis factor-α (TNF-α) inhibitors have been widely used and proven to be effective in the treatment of various inflammatory disorders in recent years, but there is a noteworthy and paradoxical adverse drug reaction that cannot be ignored, that is, TNF-α inhibitor-induced psoriasis. Its pathological manifestations could be psoriasiform or spongiotic changes, and its pathogenesis may be related to the imbalance between TNF-α and type Ⅰinterferon, the involvement of interleukin-23/T helper 17 axis, or infection. This review elaborates the epidemiological, histopathological features and possible pathogenesis of TNF-α inhibitor-induced psoriasis, and provides a basis for recognition and treatment of TNF-α inhibitor-induced psoriasis. 

Key words: Psoriasis, Tumor necrosis factor-alpha, Biological agents, Adverse reactions, Tumor necrosis factor-α inhibitor-induced psoriasis