2022, Number 2
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Dermatología Cosmética, Médica y Quirúrgica 2022; 20 (2)
Alopecia areata and atopic dermatitis, a case report treated with dupilumab
Santana RNR, Ungson GMG, Aceves VMA, Sánchez DLE
Language: Spanish
References: 19
Page: 164-168
PDF size: 327.56 Kb.
ABSTRACT
Dupilumab is a completely human monoclonal antibody, which
targets the IL-4 receptor, inhibiting it and preventing the differentiation
of Th0 lymphocytes into Th2, the pathophysiological
mechanism of atopic dermatitis. Benefiting from its use
and being one of its approved indications. It’s been seen that
this mechanism of action can worsen diseases concomitant to
atopic dermatitis, such as alopecia areata, because this inhibition
stimulates differentiation towards Th1, however, in some cases
of alopecia areata it has been found that they present a profile
of Th2 cytokines, sharing a common immunological pathway in
case of concomitance, which explains the improvement of both
pathologies with the use of dupilumab.
We present a 30-year-old female with a 1-year history of
alopecia areata, atopic dermatitis and a good response to dupilumab
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