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度普利尤单抗在扁平苔藓治疗中的作用:病因还是治疗手段?——病例报告及文献综述

A Case Report and Literature Review of the Role of Dupilumab in the Management of Lichen Planus: Cause or Treatment?

作者信息

Gajraj Farrah A, Zahir Jamal, Adereti Christopher, Gajraj Mohamed H

机构信息

Medicine, Ross University School of Medicine, Miramar, USA.

Surgery, Ross University School of Medicine, Miramar, USA.

出版信息

Cureus. 2023 Jul 2;15(7):e41274. doi: 10.7759/cureus.41274. eCollection 2023 Jul.

Abstract

Lichen planus (LP) is a chronic inflammatory skin condition characterized by the six Ps (ie. purple, planar, polygonal, pruritic, plaques, and papules) often causing physical, emotional, and psychological stress for the person affected. Drug-induced LP has been described after the administration of drugs like antihypertensives, non-steroidal anti-inflammatory drugs (NSAIDs), and biologics like adalimumab and etanercept. Currently, there is a dearth of studies discussing the association between LP and dupilumab. Here, we present the case of a young adult female who developed LP 24 months after treatment with dupilumab for severe atopic dermatitis. We also conducted a review of the literature discussing the association between LP and dupilumab.

摘要

扁平苔藓(LP)是一种慢性炎症性皮肤病,其特征为具有六个“P”(即紫色、扁平、多边形、瘙痒、斑块和丘疹),常给受影响的人带来身体、情感和心理压力。在使用抗高血压药、非甾体抗炎药(NSAIDs)以及阿达木单抗和依那西普等生物制剂后,曾有药物性扁平苔藓的报道。目前,关于扁平苔藓与度普利尤单抗之间关联的研究较少。在此,我们报告一例年轻成年女性病例,该患者在使用度普利尤单抗治疗重度特应性皮炎24个月后出现了扁平苔藓。我们还对有关扁平苔藓与度普利尤单抗之间关联的文献进行了综述。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/817d/10392291/6cd9491106cc/cureus-0015-00000041274-i01.jpg

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