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[度普利尤单抗治疗特应性皮炎中的银屑病]

[Psoriasis in dupilumab-treated atopic dermatitis].

作者信息

Senner S, Eicher L, Aszodi N, Prinz J C, French L E, Wollenberg A

机构信息

Klinik und Poliklinik für Dermatologie und Allergologie, Universitätsklinik München, Frauenlobstr. 9-11, 80337, München, Deutschland.

Klinik für Dermatologie I, München Klinik, München, Deutschland.

出版信息

Hautarzt. 2020 May;71(5):383-386. doi: 10.1007/s00105-020-04565-8.

Abstract

Dupilumab is a monoclonal antibody that binds to the common alpha chain of the IL‑4 and IL-13 receptor and blocks the Th2 signaling pathway, which plays a key role in the development of atopic dermatitis. We report on the case of a 40-year-old man, who developed histologically confirmed psoriasis after 6 weeks of dupilumab therapy. The arbitrary, abrupt stopping of the unusual, not guideline-based oral steroid therapy, together with the blockade of the Th2 signaling pathway by dupilumab were apparently the relevant trigger factors for the newly developed psoriasis in our patient.

摘要

度普利尤单抗是一种单克隆抗体,可与白细胞介素-4和白细胞介素-13受体的共同α链结合,并阻断在特应性皮炎发展中起关键作用的Th2信号通路。我们报告了一例40岁男性患者的病例,该患者在接受度普利尤单抗治疗6周后出现了组织学确诊的银屑病。随意、突然停用不寻常的、非基于指南的口服类固醇疗法,以及度普利尤单抗对Th2信号通路的阻断,显然是我们患者新发银屑病的相关触发因素。

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