Abstract
To the Editor: Conventional systemic agents (CSAs) are indicated in moderate-to-severe psoriasis. CSA switch to another CSA and/or a biologic agent including a tumor necrosis factor inhibitor and ustekinumab (TNFi/UST) may be an indication of dissatisfaction with treatment.1 Discontinuation of CSA treatment has been previously studied in psoriasis, but switches between agents and the differences between sexes have not received much attention.2-4 We examined sex differences in factors associated with CSA treatment switch among patients with psoriasis.
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