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Karger Publishers, Dermatology, 2(221), p. 172-178, 2010

DOI: 10.1159/000317775

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Skin and nail responses after 1 year of infliximab therapy in patients with moderate-to-severe psoriasis: a retrospective analysis of the EXPRESS Trial.

This paper was not found in any repository, but could be made available legally by the author.
This paper was not found in any repository, but could be made available legally by the author.

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Abstract

<i>Background:</i> The EXPRESS study demonstrated the initial efficacy of infliximab in psoriasis affecting the skin and nails. <i>Objective:</i> To further assess how patients with a positive initial response to infliximab respond to 1 year of continuous infliximab treatment. <i>Methods:</i> A retrospective analysis of patients with moderate-to-severe plaque and nail psoriasis who initiated and continued infliximab treatment up to week 46 was conducted. <i>Results:</i> Among all nail psoriasis patients receiving 1 year of infliximab (n = 186), 74.6 and 54.1% achieved at least 75 or 90% improvement in the Psoriasis Area and Severity Index (PASI) at week 50. These PASI-75 (n = 138) and PASI-90 (n = 100) responders had respective mean improvements from baseline to week 50 of 93.6 and 97.3% for the PASI, 90.6 and 94.1% for the Dermatology Life Quality Index (DLQI) and 78.2 and 80.3% for the Nail Psoriasis Severity Index (NAPSI). <i>Conclusions:</i> Infliximab treatment for 1 year produced sustained improvement in PASI, DLQI and NAPSI scores.