Use of systemic therapies for psoriasis in the COVID-19 era

J Dermatolog Treat. 2022 Mar;33(2):622-625. doi: 10.1080/09546634.2020.1775774. Epub 2021 Jan 28.

Abstract

Background: In late 2019 a viral pneumonia began to spread across the world. The viral disease, COVID-19, is now officially a pandemic, causing concern for the potential risk of systemic therapies for patients with psoriasis.

Objective: The purpose of this review is to analyze what is currently known about COVID-19 in regard to the safety of systemic treatment, and to provide guidelines for use in psoriasis during this pandemic.

Methods: Review of guidelines from various dermatologic regulatory bodies regarding the use of systemic medications during the COVID-19 pandemic was performed and summarized.

Results: The AAD, NPF and IPC are in agreement regarding their recommendation that patients with active COVID-19 infection should discontinue any biologic therapy.

Conclusion: Patients with active COVID-19 infections should discontinue systemic treatment for psoriasis. Patients with risk factors should discuss continuing treatment on a case by case basis.

Keywords: COVID-19; biologic; immunosuppressant; psoriasis; systemic treatment.

Publication types

  • Review

MeSH terms

  • COVID-19*
  • Humans
  • Pandemics
  • Pneumonia, Viral* / epidemiology
  • Psoriasis* / complications
  • Psoriasis* / drug therapy
  • Psoriasis* / epidemiology