Effectiveness of Anti-tumor Necrosis Factor Drugs on Hidradenitis Suppurativa: A Systematic Review
2024

Effectiveness of Anti-tumor Necrosis Factor Drugs on Hidradenitis Suppurativa

Sample size: 13 publication 10 minutes Evidence: moderate

Author Information

Author(s): Muacevic Alexander, Adler John R, Samifanni Rojina, Gatt Vincent, Kabore Jessica, Silva Mariangela, Khan Manal, Kollias Theofanis F, Clunes Lucy A

Primary Institution: St. George's University School of Medicine

Hypothesis

Are anti-TNF drugs effective in treating hidradenitis suppurativa?

Conclusion

Anti-TNF drugs, particularly adalimumab, show significant effectiveness in treating hidradenitis suppurativa, but high relapse rates after treatment discontinuation remain a challenge.

Supporting Evidence

  • Adalimumab has shown a clinical response rate of around 60-70%.
  • High relapse rates following treatment discontinuation remain a challenge.
  • Emerging treatments like anti-IL-17 agents show promise with response rates up to 82%.
  • Combination therapies may provide better symptom control and reduce relapse.

Takeaway

This study looks at how well certain medicines work for a painful skin condition called hidradenitis suppurativa. It finds that some treatments help a lot, but people often have problems again after stopping the medicine.

Methodology

The review analyzed 13 publications from 2010 to 2023 focusing on the effectiveness of anti-TNF drugs for HS.

Potential Biases

Moderate bias rating based on the GRADE scale.

Limitations

The review is limited by the variability in patient responses and the high relapse rates after treatment discontinuation.

Participant Demographics

The studies included both men and women, with a higher proportion of affected women reported.

Statistical Information

P-Value

p<0.001

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.7759/cureus.74172

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