Microblading is an increasingly popular semi-permanent tattooing technique used for eyebrow pigmentation, involving the use of needles. During the mpox 2022 outbreak in Spain, a 47 -year-old woman with no relevant medical history presented with a 10-day facial skin eruption.
Editor, Adalimumab is the only approved biological therapy for moderate-to-severe hidradenitis suppurativa (HS). Adalimumab biosimilars (ADA-BIO) have become the standard of HS care in Spain. However, effectiveness and safety data in HS were not required for ADA-BIO to obtain HS indication in Europe, as they were assumed by extrapolation of results from a rheumatoid arthritis (RA) trial. 1,2 The aim of this study was to evaluate the drug survival of ADA-O and ADA-BIO in HS in the clinical setting.We conducted a retrospective cohort study in the HS unit of a Spanish public university hospital (Hospital Universitario Puerta de Hierro) including all biological naïve HS patients that were started on ADA-O (Humira®) or ADA-BIO (Imraldi®) between 2016 and 2021. Exclusion criteria were (i) having received any biological drug before
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