**4.5 Quality of life**

We did not have systematically evaluate a score of quality of life. Thus, no analyzis is possible. Only one patient has stopped the treatment because considered too heavy to manage. Four patients complain about the need of hospital infusion. All others were satisfecied by the treatment.

As for other psoriasis treatments, erythematous scars occuring after initial improvement may be of transitory bad perception by the patient (figure 5).

The major problem is to psychologically and medically manage losses of clinical response. But for patients with a sustained complete response, the dermatological quality of life is perfect.

Fig. 5. W6, PASI75 response with erythematous sequelae
