Improvement of Comorbid Psoriasis in Patients With MS Treated With Natalizumab

Neurol Neuroimmunol Neuroinflamm. 2021 Feb 15;8(2):e961. doi: 10.1212/NXI.0000000000000961. Print 2021 Mar.

Abstract

Objective: To present observations on administration of natalizumab to 18 patients with the comorbid MS and psoriasis, who represented a full subset of patients with such comorbidity within the patient records available.

Methods: A retrospective analysis of patient records was performed. Patient histories were gathered and included date of diagnosis of MS and psoriasis, MS disease-modifying therapies (DMTs), Expanded Disability Status Scale (EDSS), reason for DMT switch, and effects on MS and psoriasis status.

Results: On initiation of natalizumab, all 18 patients had a complete cessation of MS disease activity (within 2-8 months) with significant patient-reported improvement of psoriasis (within 1-5 months). This improvement was independent of previous MS therapy and led to 15 of 18 patients needing no additional treatment for MS and psoriasis (remaining 3 patients continued to use topical treatments for psoriasis).

Conclusions: In this cohort of 18 patients with comorbid MS and psoriasis, beneficial results on both diseases were observed after initiation of therapy with natalizumab.

Publication types

  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Adult
  • Antibodies, Monoclonal, Humanized / pharmacology*
  • Female
  • Glatiramer Acetate / drug effects
  • Humans
  • Immunosuppressive Agents / pharmacology*
  • Male
  • Middle Aged
  • Multiple Sclerosis / complications
  • Multiple Sclerosis / drug therapy*
  • Natalizumab / pharmacology*
  • Psoriasis / chemically induced
  • Psoriasis / drug therapy*
  • Retrospective Studies

Substances

  • Antibodies, Monoclonal, Humanized
  • Immunosuppressive Agents
  • Natalizumab
  • Glatiramer Acetate