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度普利尤单抗成功治疗银屑病合并大疱性类天疱疮:1例报告

Successful Treatment of Psoriasis Combined with Bullous Pemphigoid with Dupilumab: A Case Report.

作者信息

Liu Jing-Hua, Gao Qian, Ma Wen-Yi, Cheng Zi-Lin, Luo Na-Na, Hao Ping-Sheng

机构信息

Department of Dermatology, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, People's Republic of China.

Dalian Dermatosis Hospital, Dalian, Liaoning, People's Republic of China.

出版信息

Clin Cosmet Investig Dermatol. 2023 Jun 20;16:1583-1587. doi: 10.2147/CCID.S415019. eCollection 2023.

Abstract

Psoriasis is an immune-mediated chronic inflammatory disease that can be combined with complications such as diabetes, cardiovascular disease, obesity, and kidney disease. The comorbidity of psoriasis with autoimmune bullous diseases (AIBD) has been reported previously in several cases, the most frequent of which is bullous pemphigoid (BP). The underlying mechanisms of psoriasis with BP are not clear and there are no uniform treatment criteria. Based on previous case reports, the coexistence of psoriasis and BP may be related to inflammatory activity, medications, phototherapy, and infection. We report a case of a psoriasis patient who developed BP after taking Chinese herbal compounds and was successfully treated with dupilumab, which is the first reported case of applying dupilumab to treat psoriasis with BP comorbidities.

摘要

银屑病是一种免疫介导的慢性炎症性疾病,可合并糖尿病、心血管疾病、肥胖症和肾脏疾病等并发症。银屑病与自身免疫性大疱性疾病(AIBD)的共病情况此前已有多例报道,其中最常见的是大疱性类天疱疮(BP)。银屑病合并BP的潜在机制尚不清楚,也没有统一的治疗标准。根据既往病例报告,银屑病和BP的共存可能与炎症活动、药物、光疗及感染有关。我们报告1例银屑病患者在服用中药复方后发生BP,并成功使用度普利尤单抗进行治疗,这是首例应用度普利尤单抗治疗合并BP的银屑病的病例报告。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ebd4/10290455/4f8dda331e11/CCID-16-1583-g0001.jpg

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