Research Article

The efficacy of adalimumab in the treatment of hidradenitis suppurativa

Volume: 45 Number: 1 March 17, 2018

The efficacy of adalimumab in the treatment of hidradenitis suppurativa

Abstract

Objectives:  Hidradenitis  suppurativa  is  seen  as  a  result  of  the  occlusion,  constriction  and  bacterial  infection  of  the apocrine  glands  in  bilateral  axillas,  submammarian  areas,  neck,  inguinal  regions,  flexural  surfaces  of  the  thighs  and anogenital areas. Among the biological agents adalimumab is a recombinant human IgG1 monoclonal antibody; TNF-α antagonist approved to be used in the treatment of hidradenitissuppurativa. 

Methods: In this study, 12 patients resistant to conventional treatments with moderate severity, Hurley stage 2 or 3 were started subcutaneous adalimumab treatment. The disease activities upon the hidradenitis suppurativa, clinical severity index and life quality index of the patients were examined both before and 1 year after the treatment. 

Results: Twelve  patients were recruited. In the examination of  the  hidradenitis  suppurativa  clinical  severity  scores, significant  clinical  responses  were  noted  in  9  (75%)  patients.  While  the  mean  value  of  the  life  quality  index  was 14.4±6.9 before the treatment, it was determined to be significantly decreased to 4.3±3.8 after the treatment.

Conclusion:  We  concluded  that  adalimumab;  the  unique  biological  agent  approved  to  be  used  in  the  treatment  of treatment-resistant, moderate-severe hidradenitis suppurativa is efficient and safe in similar ratios with the previous clinical studies in the literature.






Keywords

References

  1. 1. Gönül M, Gül Ü.Hidradenitis Süpürativa. Türk Dermatoloji Dergisi. 2009;3:9-12.
  2. 2. Ingram JR, Woo PN, Chua SL, Ormerod AD, Desai N, Kai AC, et al. Interventions for hidradenitissuppurativa: a Cochrane systematic review incorporating GRADE assessment of evidence quality. British Journal of Dermatology. 2016;174:970-8.
  3. 3. Dominique C, Mekkes JR, Tzellos T. Randomized Controlled Trials for the Treatment of Hidradenitis Suppurativa. Dermatol Clin. 2016;34:69-80.
  4. 4. Zhang J, Reeder VJ, Hamzavi IH. Use of biologics in the treatment of hidradenitis suppurativa: a review of the Henry Ford Hospital experience. Br J Dermatol. 2014;171:1600-2.
  5. 5. Kimball AB, Jemec GB, Yang M,Kageleiry A,Signorovitch JE, Okun MM, et al. Assessing the validity, responsiveness and meaningfulness of the Hidradenitis Suppurativa Clinical Response (HiSCR) as the clinical endpoint for Hidradenitis suppurativa treatment. British Journal of Dermatology. 2014;171:1434-42.
  6. 6. Napolitano M, Megna M, Timoshchuk EA, Patruno C, Balato N, Fabbrocini G, et al. Hidradenitis suppurativa: from pathogenesis to diagnosis and treatment. Clin Cosmet Investig Dermatol. 2017;10:105-15.
  7. 7. Balık E, Eren T, Yamaner S, Bulut T, Buğra D, Büyükuncu Y,ve ark. Gluteal Yerleşimli Yaygın Hidradenitis Supurativa ile İlgili Cerrahi Deneyimlerimiz.Kolon Rektum Hast Derg. 2007;17:27-32.
  8. 8. Mehdizadeh A, Hazen PG, Bechara FG, Zwingerman N, Moazenzadeh M, Bashash M, et al. Recurrence of hidradenitis suppurativa after surgical management: A systematic review and meta-analysis. J Am Acad Dermatol. 2015;73:70-7.

Details

Primary Language

Turkish

Subjects

Health Care Administration

Journal Section

Research Article

Publication Date

March 17, 2018

Submission Date

March 17, 2018

Acceptance Date

December 28, 2017

Published in Issue

Year 2018 Volume: 45 Number: 1

APA
Balevi, A., Ustuner, P., & Özdemir, M. (2018). The efficacy of adalimumab in the treatment of hidradenitis suppurativa. Dicle Medical Journal, 45(1), 19-27. https://doi.org/10.5798/dicletip.407240
AMA
1.Balevi A, Ustuner P, Özdemir M. The efficacy of adalimumab in the treatment of hidradenitis suppurativa. Dicle Medical Journal. 2018;45(1):19-27. doi:10.5798/dicletip.407240
Chicago
Balevi, Ali, Pelin Ustuner, and Mustafa Özdemir. 2018. “The Efficacy of Adalimumab in the Treatment of Hidradenitis Suppurativa”. Dicle Medical Journal 45 (1): 19-27. https://doi.org/10.5798/dicletip.407240.
EndNote
Balevi A, Ustuner P, Özdemir M (March 1, 2018) The efficacy of adalimumab in the treatment of hidradenitis suppurativa. Dicle Medical Journal 45 1 19–27.
IEEE
[1]A. Balevi, P. Ustuner, and M. Özdemir, “The efficacy of adalimumab in the treatment of hidradenitis suppurativa”, Dicle Medical Journal, vol. 45, no. 1, pp. 19–27, Mar. 2018, doi: 10.5798/dicletip.407240.
ISNAD
Balevi, Ali - Ustuner, Pelin - Özdemir, Mustafa. “The Efficacy of Adalimumab in the Treatment of Hidradenitis Suppurativa”. Dicle Medical Journal 45/1 (March 1, 2018): 19-27. https://doi.org/10.5798/dicletip.407240.
JAMA
1.Balevi A, Ustuner P, Özdemir M. The efficacy of adalimumab in the treatment of hidradenitis suppurativa. Dicle Medical Journal. 2018;45:19–27.
MLA
Balevi, Ali, et al. “The Efficacy of Adalimumab in the Treatment of Hidradenitis Suppurativa”. Dicle Medical Journal, vol. 45, no. 1, Mar. 2018, pp. 19-27, doi:10.5798/dicletip.407240.
Vancouver
1.Ali Balevi, Pelin Ustuner, Mustafa Özdemir. The efficacy of adalimumab in the treatment of hidradenitis suppurativa. Dicle Medical Journal. 2018 Mar. 1;45(1):19-27. doi:10.5798/dicletip.407240