Liu Li, Chen Jie, Tang Kangheng, Li Feng, Li Si, Ding Xiaojie
Department of Dermatology, Affiliated Hospital of North Sichuan Medical College, Nanchong, Sichuan Province, People's Republic of China.
Clin Cosmet Investig Dermatol. 2023 Aug 14;16:2217-2221. doi: 10.2147/CCID.S420904. eCollection 2023.
Psoriasis and atopic dermatitis are relatively common in clinical practice, but it is rare for the two diseases to co-occur in the same patient. Dupilumab, an anti-IL-4/IL-13 monoclonal antibody, has been approved for treating moderate to severe AD. In addition to its therapeutic effects, dupilumab may induce new cutaneous adverse reactions. We report a rare case of pustular psoriasis induced during the treatment of atopic dermatitis with dupilumab. This case demonstrates the need for caution while treating patients with moderate to severe atopic dermatitis and staying vigilant for the emergence of new symptoms, especially with biological agents.
银屑病和特应性皮炎在临床实践中较为常见,但这两种疾病在同一患者中共存的情况却很少见。度普利尤单抗是一种抗白细胞介素-4/白细胞介素-13单克隆抗体,已被批准用于治疗中度至重度特应性皮炎。除了治疗效果外,度普利尤单抗可能会引发新的皮肤不良反应。我们报告了1例在使用度普利尤单抗治疗特应性皮炎期间诱发脓疱型银屑病的罕见病例。该病例表明,在治疗中度至重度特应性皮炎患者时需要谨慎,并对新症状的出现保持警惕,尤其是在使用生物制剂时。