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在度普利尤单抗治疗特应性皮炎期间停用外用皮质类固醇后传染性软疣消退:一例报告

Resolution of Molluscum Contagiosum After Discontinuation of Topical Corticosteroids During Dupilumab Therapy for Atopic Dermatitis: A Case Report.

作者信息

Yunoki Marina, Fukuchi Kensuke, Fujiyama Toshiharu, Ito Taisuke, Honda Tetsuya

机构信息

Department of Dermatology, Hamamatsu University School of Medicine, Hamamatsu, JPN.

出版信息

Cureus. 2024 Aug 21;16(8):e67391. doi: 10.7759/cureus.67391. eCollection 2024 Aug.

DOI:10.7759/cureus.67391
PMID:39310604
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11415223/
Abstract

A 35-year-old male patient with atopic dermatitis (AD) was referred to our department for exacerbated AD lesions. His sudden discontinuation of topical corticosteroid had induced erythroderma on his face, extremities, and trunk. Additionally, he presented small multiple whitish papules, mainly on the trunk and thighs, diagnosed as molluscum contagiosum (MC). Dupilumab was initiated in combination with a topical corticosteroid (0.05% betamethasone butyrate propionate). After four weeks, the AD symptoms substantially improved, while MC showed no changes. After 11 weeks of dupilumab therapy, he abruptly stopped topical corticosteroid treatment, and the MC lesions completely resolved in two weeks.

摘要

一名35岁的特应性皮炎(AD)男性患者因AD皮损加重被转诊至我科。他突然停用外用糖皮质激素后,面部、四肢和躯干出现了红皮病。此外,他躯干和大腿上出现了多个小的白色丘疹,诊断为传染性软疣(MC)。开始使用度普利尤单抗联合外用糖皮质激素(0.05%丙酸倍他米松丁酸酯)治疗。四周后,AD症状显著改善,而MC无变化。度普利尤单抗治疗11周后,他突然停止外用糖皮质激素治疗,MC皮损在两周内完全消退。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c4c/11415223/2ff5f5954a4a/cureus-0016-00000067391-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c4c/11415223/eb32c26e9b21/cureus-0016-00000067391-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c4c/11415223/73415094cebb/cureus-0016-00000067391-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c4c/11415223/2ff5f5954a4a/cureus-0016-00000067391-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c4c/11415223/eb32c26e9b21/cureus-0016-00000067391-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c4c/11415223/73415094cebb/cureus-0016-00000067391-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c4c/11415223/2ff5f5954a4a/cureus-0016-00000067391-i03.jpg

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本文引用的文献

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J Clin Aesthet Dermatol. 2023 Aug;16(8 Suppl 1):S4-S11.
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An Bras Dermatol. 2022 May-Jun;97(3):358-361. doi: 10.1016/j.abd.2021.10.001. Epub 2022 Mar 17.
3
Dupilumab may facilitate the clearance of molluscum contagiosum in atopic dermatitis patients.
度普利尤单抗可能有助于特应性皮炎患者清除传染性软疣。
J Dtsch Dermatol Ges. 2020 Sep;18(9):1016-1018. doi: 10.1111/ddg.14257. Epub 2020 Sep 2.
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Transitory Dissemination of Molluscum Contagiosum in a Patient Treated with Dupilumab for Atopic Dermatitis.用度普利尤单抗治疗特应性皮炎患者时传染性软疣的短暂播散
Acta Derm Venereol. 2020 Jul 2;100(14):adv00207. doi: 10.2340/00015555-3565.
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Molluscum contagiosum: an update and review of new perspectives in etiology, diagnosis, and treatment.传染性软疣:病因、诊断及治疗新视角的最新进展与综述
Clin Cosmet Investig Dermatol. 2019 May 30;12:373-381. doi: 10.2147/CCID.S187224. eCollection 2019.
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Infections in Dupilumab Clinical Trials in Atopic Dermatitis: A Comprehensive Pooled Analysis.特应性皮炎度普利尤单抗临床试验中的感染:综合汇总分析。
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Hair regrowth and dissemination of molluscum contagiosum: two unexpected effects with dupilumab.毛发再生与传染性软疣扩散:度普利尤单抗的两种意外效应
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