PMID- 27759482 OWN - NLM STAT- MEDLINE DCOM- 20171024 LR - 20181202 IS - 1471-1753 (Electronic) IS - 0954-6634 (Linking) VI - 28 IP - 4 DP - 2017 Jun TI - Dermatologic uses of omalizumabtitle. PG - 332-337 LID - 10.1080/09546634.2016.1249819 [doi] AB - PURPOSE: Omalizumab is a recombinant humanized monoclonal antibody that inhibits the binding of immunoglobulin E (IgE) to the high-affinity IgE receptor (FceRI) on the surface of mast cells and basophils. Omalizumab has been approved for use in asthma, and new reports show promise in a variety of dermatologic diseases. Herein, we review the literature on omalizumab in dermatology and discuss the safety, efficacy and mechanisms of action for this emerging therapy. MATERIALS AND METHODS: PubMED, MEDLINE and Embase databases were searched for the period 1 January 1990 to 1 September 2016. Articles sourced were graded according to the Oxford Center for Evidence-Based Medicine Levels of Evidence Grades of Recommendation criteria. RESULTS: A total of 99 articles met our inclusion criteria. They included reports on the use of omalizumab in chronic spontaneous urticaria, atopic dermatitis, mastocytosis, hyper-IgE syndrome, bullous pemphigoid, Netherton syndrome, urticarial vasculitis, Churg-Strauss syndrome and toxic epidermal necrolysis. CONCLUSIONS: Omalizumab is effective in a variety of recalcitrant immune-mediated and autoimmune skin disorders. It is a safe and effective treatment for use in chronic idiopathic urticaria (Grade of recommendation: A). Randomized clinical trials with long-term follow-ups are warranted to firmly establish the role of omalizumab in the treatment of dermatologic disease. FAU - Chia, Justin C AU - Chia JC AD - a Division of Dermatology, Department of Medicine , University of Calgary , Calgary , Alberta , Canada. FAU - Mydlarski, P Regine AU - Mydlarski PR AD - a Division of Dermatology, Department of Medicine , University of Calgary , Calgary , Alberta , Canada. LA - eng PT - Journal Article PT - Review DEP - 20161107 PL - England TA - J Dermatolog Treat JT - The Journal of dermatological treatment JID - 8918133 RN - 0 (Anti-Allergic Agents) RN - 0 (Antibodies, Monoclonal) RN - 2P471X1Z11 (Omalizumab) RN - 37341-29-0 (Immunoglobulin E) SB - IM MH - Anti-Allergic Agents/adverse effects/*therapeutic use MH - Antibodies, Monoclonal/adverse effects/therapeutic use MH - Autoimmune Diseases/drug therapy/immunology MH - Chronic Disease MH - Dermatitis, Atopic/drug therapy/immunology MH - Guidelines as Topic MH - Humans MH - Immunoglobulin E/immunology MH - Omalizumab/adverse effects/immunology/*therapeutic use MH - Pemphigoid, Bullous/drug therapy/immunology MH - Skin Diseases/*drug therapy/immunology MH - Urticaria/drug therapy/immunology OTO - NOTNLM OT - Omazliumab OT - bullous pemphigoid OT - eczema OT - urticaria EDAT- 2016/10/21 06:00 MHDA- 2017/10/25 06:00 CRDT- 2016/11/08 06:00 PHST- 2016/10/21 06:00 [pubmed] PHST- 2017/10/25 06:00 [medline] PHST- 2016/11/08 06:00 [entrez] AID - 10.1080/09546634.2016.1249819 [doi] PST - ppublish SO - J Dermatolog Treat. 2017 Jun;28(4):332-337. doi: 10.1080/09546634.2016.1249819. Epub 2016 Nov 7.