Psoriasis in HIV infection: an update

Int J STD AIDS. 2019 May;30(6):596-604. doi: 10.1177/0956462419827673. Epub 2019 Feb 27.

Abstract

Psoriasis is a prevalent systemic immune-mediated disease with cutaneous manifestations. In HIV-infected patients, psoriasis may have a higher incidence, present atypical and more exuberant clinical features, and is frequently recalcitrant to treatment. Despite this aggravated severity, treatment options for psoriasis in HIV-infected individuals remain limited due to the risk of fatal immunosuppression associated with both classical immunosuppressants and new biological drugs. Notwithstanding, drug therapy in psoriasis has been undergoing major advances for the last few years, with novel drugs approved, which could significantly add to the management of HIV-infected patients. It is therefore our aim to present a review of the available literature to highlight the updated evidence on psoriasis in HIV-infected individuals, particularly in regards to its epidemiology, proposed pathophysiology, clinical presentation, currently available therapeutic options, and future perspectives.

Keywords: AIDS; HIV; epidemiology; psoriasis; treatment.

Publication types

  • Review

MeSH terms

  • AIDS-Related Opportunistic Infections / diagnosis
  • AIDS-Related Opportunistic Infections / drug therapy*
  • AIDS-Related Opportunistic Infections / epidemiology
  • Administration, Topical
  • Anti-Retroviral Agents / therapeutic use
  • Antibodies, Monoclonal / therapeutic use
  • Evidence-Based Medicine
  • HIV Infections / complications*
  • HIV Infections / drug therapy
  • Humans
  • Immunosuppressive Agents / adverse effects
  • Immunosuppressive Agents / therapeutic use
  • Male
  • Phototherapy / adverse effects
  • Phototherapy / methods
  • Psoriasis / complications*
  • Psoriasis / drug therapy
  • Psoriasis / epidemiology
  • Psoriasis / immunology*
  • Retinoids / therapeutic use

Substances

  • Anti-Retroviral Agents
  • Antibodies, Monoclonal
  • Immunosuppressive Agents
  • Retinoids