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Introduction: Palmoplantar pustular psoriasis (PPPP) is a chronic inflammatory skin disorder characterized by sterile pustules on the palms and soles, significantly impacting patients' quality of life. The pathogenesis of PPPP involves intricate interactions between immune dysregulation, environmental triggers, and genetic predisposition. The treatment of PPPP is challenging, and there is a need for effective and safe treatment options for patients. Objective: We evaluated the efficacy and safety of deucravacitinib, a novel oral selective allosteric inhibitor of tyrosine kinase 2 (TYK2), in treating refractory PPPP. Material and methods: A retrospective analysis was conducted on five patients treated with deucravacitinib 6 mg/day, with clinical assessments at weeks 0, 4, and 16. Results: While initial worsening was observed in most patients, three showed improvement by week 16. One patient improved with the addition of methotrexate. Treatment was discontinued in two patients after week 16. Adverse effects were primarily viral and bacterial infections, and no serious adverse events occurred. Conclusion: Current therapeutic options for PPPP are limited, necessitating exploration of novel treatments. Deucravacitinib's mechanism of action, targeting TYK2, could show promise in PPPP management. However, its efficacy and safety in this specific condition require further investigation through larger, randomized controlled trials. [ABSTRACT FROM AUTHOR]

We report the case of a female adult with a history of interstitial pneumonia that debutes with systemic symptoms, skin rash, "mechanics hands", muscle weakness, and polyarthralgia. Through laboratory studies, histopathology of the skin, high resolution computed tomography and electromyogram, we arrived at the antisynthetase syndrome diagnosis. The antisynthetase syndrome is a rare autoimmune inflammatory of the myopathies group with high mortality and poor response to therapy, whose evolution depends on the lung involvement. [ABSTRACT FROM AUTHOR]

Primary cutaneous lymphomas are lymphoproliferative disorders of T, B or natural killer (NK) cells, which involve the skin, with no evidence of systemic involvement at diagnosis moment. Within the group of primary cutaneous T-cell lymphoma (CTCL), mycosis fungoides (MF) is the most common form of presentation and Sezary syndrome is one of the most aggressive manifestations. Its treatment is defined by taking into account the stage of the disease and the patient's clinical condition, being the Extracorporeal Photopheresis the first therapeutic alternative in advanced stages. [ABSTRACT FROM AUTHOR]