Cheng Wenjie, Pan Chaolan, Sun Zhe, Sun Peiyi, Li Jiawen, Yao Zhirong, Wang Xiaoxiao, Zhang Jia
Dermatology Center, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.
Department of Dermatology, Shanghai Jiaotong University School of Medicine, Shanghai, China.
Front Immunol. 2025 May 16;16:1574255. doi: 10.3389/fimmu.2025.1574255. eCollection 2025.
Ichthyoses, a group of skin cornification disorders caused by protein and lipid abnormalities that disrupt epidermal functions, are mainly characterized by generalized scaling. This study is the first to report the use of Vunakizumab, China's first self-developed anti-IL-17A monoclonal antibody, in treating ichthyosis. We presented a case of a 4-year-old boy with epidermolytic ichthyosis (EI) due to a gene mutation. Since birth, he has presented with generalized erythema, desquamation, and blister formation at the extremities. Then, palmoplantar hyperkeratosis gradually emerged, accompanied by severe pruritus. After a three-month treatment with Vunakizumab, symptoms alleviated significantly and inflammatory factor levels normalized. This not only shows the great potential of Vunakizumab in treating ichthyosis but also paves the way for further research on anti-IL-17A therapies for skin cornification disorders, offering treatment options for ichthyosis patients.
鱼鳞病是一组由蛋白质和脂质异常导致表皮功能紊乱引起的皮肤角化障碍性疾病,主要特征为全身性脱屑。本研究首次报道了中国首个自主研发的抗IL-17A单克隆抗体乌纳奇珠单抗用于治疗鱼鳞病。我们报告了一例因基因突变导致表皮松解性鱼鳞病(EI)的4岁男孩病例。自出生以来,他四肢出现全身性红斑、脱屑和水疱形成。随后逐渐出现掌跖角化过度,伴有严重瘙痒。使用乌纳奇珠单抗治疗三个月后,症状明显缓解,炎症因子水平恢复正常。这不仅显示了乌纳奇珠单抗在治疗鱼鳞病方面的巨大潜力,也为进一步研究针对皮肤角化障碍的抗IL-17A疗法铺平了道路,为鱼鳞病患者提供了治疗选择。