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Dermbits

MD, MPH

What is your favorite biologic in those with treated latent TB?

Psoriasis

You. I work in an area where many of my patients have latent TB or have had treated latent TB. And for these patients with a moderate to severe plaque psoriasis, my go to biologic, if I can get them access to it, is either an IL 17 or IL 23 inhibitor. The reason for that is that the risk of reactivation is very low of their tb with IL 17 or IL 23 inhibitors. So if I can for those patients, I don't prefer to use TNF inhibitors in them. Rather I would probably pick an IL 17 or IL 23 inhibitors for these patients.