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Aszodi, Nora; Thurau, Stephan; Seegraeber, Marlene; de Bruin-Weller, Marjolein und Wollenberg, Andreas (2019): Management of dupilumab-associated conjunctivitis in atopic dermatitis. In: Journal der Deutschen Dermatologischen Gesellschaft, Bd. 17, Nr. 5: S. 488-492

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Abstract

Since September 2017, the monoclonal antibody dupilumab (Dupixent (R)) has been approved in the EU for the treatment of moderate-to-severe atopic dermatitis. By blocking IL-4 and IL-13 signaling pathways, dupilumab improves both objective signs and subjective symptoms of the disease. Blocking of the IL-4aR a subunit leads to improvement of the skin's barrier function and reduction in Th2-mediated inflammation. While the rate of adverse events on dupilumab is generally low, mild-to-moderate conjunctivitis associated with redness as well as a burning and foreign body sensation has been reported in up to 28 % of patients. Treatment options include topical corticosteroids and topical calcineurin inhibitors. The present review highlights the clinical presentation of dupilumab-associated conjunctivitis and addresses pharmacological and non-pharmacological options available for the treatment of this clinically highly relevant condition.

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