2020
DOI: 10.2340/00015555-3576
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Dupilumab Treatment in Two Patients with Cutaneous T-cell Lymphomas

Abstract: Fig. 1. Case 2: Clinical photographs of mycosis fungoides lesions (A) before and (B) after 1 month of dupilumab treatment.

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Cited by 24 publications
(42 citation statements)
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“…Therefore, pruritus in both atopic and nonatopic individuals has been reported to improve with dupilumab for various types of chronic refractory itch, such as lichen planus, genital itching, uremic itching, idiopathic itching, and eosinophilic dermatosis of hematological malignancies [160][161][162]. In addition, isolated case reports show the beneficial effect of dupilumab in various skin disorders and diseases affecting the skin, such as eosinophilic annular erythema (with the resolution of all lesions and pruritus [164,165]), keloids [166], pruritic epidermolysis bullosa [167], hypereosinophilic syndrome [168], and cutaneous T-cell lymphoma (mycosis fungoides) [169].…”
Section: Pruritusmentioning
confidence: 99%
“…Therefore, pruritus in both atopic and nonatopic individuals has been reported to improve with dupilumab for various types of chronic refractory itch, such as lichen planus, genital itching, uremic itching, idiopathic itching, and eosinophilic dermatosis of hematological malignancies [160][161][162]. In addition, isolated case reports show the beneficial effect of dupilumab in various skin disorders and diseases affecting the skin, such as eosinophilic annular erythema (with the resolution of all lesions and pruritus [164,165]), keloids [166], pruritic epidermolysis bullosa [167], hypereosinophilic syndrome [168], and cutaneous T-cell lymphoma (mycosis fungoides) [169].…”
Section: Pruritusmentioning
confidence: 99%
“…Some real-world data indicate that dupilumab was not so effective in the real world as in clinical trials. Because there is overlap in the clinical appearance of moderate-to-severe AD and mycosis fungoides ( Silverberg, 2020 ), patients with mycosis fungoides can be misdiagnosed with AD ( Chiba et al., 2019 ; Lazaridou et al., 2020 ; Newsom et al., 2021 ). Furthermore, some clinical features of allergic contact dermatitis and psoriasis are similar to those of AD.…”
Section: Effectiveness and Safety Of Dupilumab For Ad In The Real Worldmentioning
confidence: 99%
“…3,4 Recently, a limited set of CTCL cases occurring during or after treatment with dupilumab for AD was reported along with some observations of established CTCL worsening after initial symptomatic improvement (Table I). [5][6][7][8][9][10] Our case differs from these previous cases of CTCL occurring in allegedly benign chronic conditions treated by dupilumab by its histopathologic subset, never specifically reported in this setting to date. However, overall it raises a similar hypothesis, including the selection and the promotion of a preexisting, initially inconspicuous dupilumabresistant CD30 1 T-cell clone through a dupilumabinduced depletion of tumor-infiltrating lymphocytes with tumor suppressive activity contributing to the emergence of the neoplastic clone.…”
Section: Discussionmentioning
confidence: 86%