Evaluation of serum TWEAK levels and treatment response in psoriasis and psoriatic arthritis: a prospective comparative case–control study of adalimumab and methotrexate

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  • 1

    Psoriasis affects 2-3% of the global population and can lead to psoriatic arthritis in up to 40% of patients, significantly impairing quality of life.

  • 2

    TWEAK, a cytokine linked to inflammation, plays a role in psoriatic disease, but its effects on treatment outcomes with adalimumab and methotrexate are not well understood.

  • 3

    This study evaluates serum TWEAK levels before and after treatment with adalimumab for psoriasis and methotrexate for psoriatic arthritis.

  • 4

    Clinical assessments included PASI for psoriasis severity and DAPSA for psoriatic arthritis activity, measured at baseline and 24 weeks.

  • 5

    The study design reflects real-world therapeutic standards, with a minimum of 20 participants per group to ensure sufficient statistical power.

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