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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
Full text How to cite this article

Language: Spanish
References: 19
Page: 164-168
PDF size: 327.56 Kb.


Key words:

atopic dermatitis, alopecia areata, dupilumab, biologic therapy.

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


REFERENCES

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Dermatología Cosmética, Médica y Quirúrgica. 2022;20