{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:39:49Z","timestamp":1787013589823,"version":"build-2736575974"},"reference-count":24,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2015,12,24]],"date-time":"2015-12-24T00:00:00Z","timestamp":1450915200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Journal of Dermatology"],"published-print":{"date-parts":[[2016,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    Psoriasis has been shown to accompany systemic inflammation. We aimed to examine serum C\u2010reactive protein (\n                    <jats:styled-content style=\"fixed-case\">CRP<\/jats:styled-content>\n                    ) levels in Japanese psoriatic patients, and to elucidate their long\u2010term as well as short\u2010term changes by treatment with different biologics. A retrospective study was conducted in those who initiated and successfully continued the treatment for up to 24 months with either infliximab, adalimumab or ustekinumab, at the psoriasis special clinic of Jikei University School of Medicine. A total of 212 patients were included, 171 with plaque\u2010type psoriasis (PsV) and 41 with psoriatic arthritis (PsA). A statistically significant elevation of\n                    <jats:styled-content style=\"fixed-case\">CRP<\/jats:styled-content>\n                    values was found in the group with a Psoriasis Area and Severity Index (\n                    <jats:styled-content style=\"fixed-case\">PASI<\/jats:styled-content>\n                    ) of 12 or more compared with the\n                    <jats:styled-content style=\"fixed-case\">PASI<\/jats:styled-content>\n                    of less than 12 for both PsV and PsA. The\n                    <jats:styled-content style=\"fixed-case\">CRP<\/jats:styled-content>\n                    \u2010positive patients had a higher proportion of PsA compared with the\n                    <jats:styled-content style=\"fixed-case\">CRP<\/jats:styled-content>\n                    \u2010negative patients, and they had significantly higher\n                    <jats:styled-content style=\"fixed-case\">PASI<\/jats:styled-content>\n                    scores. Serum\n                    <jats:styled-content style=\"fixed-case\">CRP<\/jats:styled-content>\n                    values declined as early as at 3 months after systemic treatment with biologics. Tumor necrosis factor (\n                    <jats:styled-content style=\"fixed-case\">TNF<\/jats:styled-content>\n                    )\u2010\u03b1 antagonists did lead to a notable and sustained\n                    <jats:styled-content style=\"fixed-case\">CRP<\/jats:styled-content>\n                    decline up to 24 months. Infliximab showed rapid decline, while\n                    <jats:styled-content style=\"fixed-case\">CRP<\/jats:styled-content>\n                    decline by adalimumab treatment was time\u2010dependent. The interleukin\u201012\/23 p40 antagonist, ustekinumab, appeared to be less potent than\n                    <jats:styled-content style=\"fixed-case\">TNF<\/jats:styled-content>\n                    \u2010\u03b1 antagonists in stabilizing\n                    <jats:styled-content style=\"fixed-case\">CRP<\/jats:styled-content>\n                    values at low levels despite good control of cutaneous lesions. In conclusion, serum\n                    <jats:styled-content style=\"fixed-case\">CRP<\/jats:styled-content>\n                    levels can be used to assess disease severity in Japanese psoriatic patients as a marker of systemic inflammation.\n                    <jats:styled-content style=\"fixed-case\">TNF<\/jats:styled-content>\n                    \u2010\u03b1 antagonists may be more beneficial than ustekinumab in this regard.\n                  <\/jats:p>","DOI":"10.1111\/1346-8138.13213","type":"journal-article","created":{"date-parts":[[2015,12,24]],"date-time":"2015-12-24T10:25:58Z","timestamp":1450952758000},"page":"779-784","source":"Crossref","is-referenced-by-count":37,"title":["Serum C\u2010reactive protein levels in Japanese patients with psoriasis and psoriatic arthritis: Long\u2010term differential effects of biologics"],"prefix":"10.1111","volume":"43","author":[{"given":"Akihiko","family":"Asahina","sequence":"first","affiliation":[{"name":"Department of Dermatology Jikei University School of Medicine Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshinori","family":"Umezawa","sequence":"additional","affiliation":[{"name":"Department of Dermatology Jikei University School of Medicine Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Koichi","family":"Yanaba","sequence":"additional","affiliation":[{"name":"Department of Dermatology Jikei University School of Medicine Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hidemi","family":"Nakagawa","sequence":"additional","affiliation":[{"name":"Department of Dermatology Jikei University School of Medicine Tokyo 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