학술논문

Two cases of dupilumab-responsive Kimura disease.
Document Type
Article
Source
Clinical & Experimental Dermatology. May2024, Vol. 49 Issue 5, p502-506. 5p.
Subject
*KIMURA disease
*DUPILUMAB
*MONOCLONAL antibodies
*IMMUNE response
*DIAGNOSIS
Language
ISSN
0307-6938
Abstract
Kimura disease (KD) is a rare, chronic angiolymphoproliferative inflammatory disease appearing to be mostly restricted to the skin and soft tissue. Cutaneous involvement of KD includes head and/or neck nodules showing suggestive histological features, frequently associated with an atopic dermatitis-like or prurigo-like presentation. KD is challenging to treat, with high rate of recurrence using current therapeutic strategies. Evidence for involvement of a T-helper type 2 (Th2) immune response in KD pathogenesis has been found in previous studies. Consequently, this study aimed to determine the efficacy and safety of dupilumab, a human monoclonal antibody that inhibits signalling of key Th2 cytokines, interleukin (IL)-4 and IL-13, within a single-centre cohort of patients with cutaneous KD. Two adults with a diagnosis of refractory (failure of at least one treatment line) cutaneous-restricted KD based on clinical, biological, histological, molecular and imaging findings received dupilumab for KD, and showed dramatic response with a good safety profile. [ABSTRACT FROM AUTHOR]