Evidence map›Paper›PMID 41884017›Full record

ArticleTherapeutic advances in neurological disorders2026

Psoriasis under B-cell depleting therapies in multiple sclerosis: a retrospective multicenter analysis.

Patricia Kirschner, Franz F Konen, Franziska Axhausen, Ulas Ceylan, Erda Bucak, Romy Baumgart, Lars Masanneck, Stefan Gingele, Kerstin Steinbrink, Sven G Meuth and 6 more

Abstract read
In one paragraph

Article in Therapeutic advances in neurological disorders, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Patricia KirschnerDepartment of Neurology, Medical Faculty, Heinrich-Heine-University Düsseldorf, Moorenstraße 5, Düsseldorf 40225, Germany.ORCID https://orcid.org/0009-0002-0835-0120
Franz F KonenDepartment of Neurology, Hannover Medical School, Hanover, Germany.ORCID https://orcid.org/0000-0002-8609-5674
Franziska AxhausenDepartment of Neurology, Justus-Liebig-University Giessen, Giessen, Germany.
Ulas CeylanDepartment of Neurology, St. Josef-Hospital, Ruhr-University Bochum, Bochum, Germany.
Erda BucakDepartment of Neurology, Hannover Medical School, Hanover, Germany.ORCID https://orcid.org/0009-0009-0321-1173
Romy BaumgartDepartment of Neurology, Justus-Liebig-University Giessen, Giessen, Germany.ORCID https://orcid.org/0009-0006-3354-3011
Lars MasanneckDepartment of Neurology, Medical Faculty, Heinrich-Heine-University Düsseldorf, Düsseldorf, Germany.ORCID https://orcid.org/0000-0003-2496-1415
Stefan GingeleDepartment of Neurology, Hannover Medical School, Hanover, Germany.ORCID https://orcid.org/0000-0002-6055-5695
Kerstin SteinbrinkDepartment of Dermatology, University Hospital Münster, University of Münster, Münster, Germany.
Sven G MeuthDepartment of Neurology, Medical Faculty, Heinrich-Heine-University Düsseldorf, Düsseldorf, Germany.
Ralf GoldDepartment of Neurology, St. Josef-Hospital, Ruhr-University Bochum, Bochum, Germany.ORCID https://orcid.org/0000-0002-7223-3052
Stephanie WolffDepartment of Neurology, Justus-Liebig-University Giessen, Giessen, Germany.
Simon FaissnerDepartment of Neurology, St. Josef-Hospital, Ruhr-University Bochum, Bochum, Germany.ORCID https://orcid.org/0000-0002-3412-762X
Thomas SkripuletzDepartment of Neurology, Hannover Medical School, Hanover, Germany.
Steffen PfeufferDepartment of Neurology, Justus-Liebig-University Giessen, Giessen, Germany.ORCID https://orcid.org/0000-0001-5171-4845
Marc PawlitzkiDepartment of Neurology, Medical Faculty, Heinrich-Heine-University Düsseldorf, Düsseldorf, Germany.ORCID https://orcid.org/0000-0003-3080-2277

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: B-cell depleting therapies (BCDT), including ocrelizumab, ofatumumab, and ublituximab, are highly effective disease-modifying therapies for multiple sclerosis (MS). Several case reports have raised concerns about new-onset or exacerbation of psoriasis under BCDT. Objectives: This article aims to analyze clinical characteristics, treatment courses, and outcomes of MS patients who developed or experienced worsening of psoriasis during BCDT. Design: This retrospective, multicenter analysis included patients from four German university hospitals (Düsseldorf, Hannover, Bochum, Giessen). Methods: We retrospectively screened 3228 MS patients under BCDT between 2020 and 2024 for development of psoriasis or an exacerbation of a known psoriasis. Clinical data, including Expanded Disability Status Scale, Psoriasis Area and Severity Index scores, treatment regimens, and comorbidities, were analyzed. Results: Among 3228 patients treated with BCDT, 7 developed new-onset psoriasis and 10 showed exacerbation of preexisting psoriasis. The median time to psoriasis onset or worsening was 13 months (3-83 months) under continuous treatment with BCDT. Topical therapies were effective in most cases, but a change of MS treatment or initiation of psoriasis-specific immunotherapies, including the interleukin-17A-antibody secukinumab, was required in four patients. Conclusion: Psoriasis onset or worsening during BCDT is rare. While most cases are manageable with standard psoriasis treatments, severe cases may necessitate therapy adjustments. The potential immunological interplay between MS and psoriasis treatment warrants further investigation.

Indexed as

adverse effectsautoimmune comorbidityB-cell depleting therapyimmunotherapypsoriasis

Identifiers

PMID41884017
PMCPMC13010001

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.