PMID- 32989751 OWN - NLM STAT- MEDLINE DCOM- 20210617 LR - 20210617 IS - 1365-4632 (Electronic) IS - 0011-9059 (Linking) VI - 60 IP - 2 DP - 2021 Feb TI - Dupilumab treatment ameliorates clinical and hematological symptoms, including blood eosinophilia, in patients with atopic dermatitis. PG - 190-195 LID - 10.1111/ijd.15183 [doi] AB - BACKGROUND: Atopic dermatitis (AD) is an allergic disease that affects individuals of various ages. Recently, the IL-4/13 inhibitor dupilumab has gained regulatory approval for clinical use in AD patients. Dupilumab has been reported to reduce several markers of AD, including the serum levels of thymus and activation-regulated chemokine (TARC/CCL17), blood lactate dehydrogenase (LDH), and serum total immunoglobulin E (IgE). METHODS: We retrospectively reviewed data from 40 AD patients who were treated with dupilumab. Eczema Area and Severity Index (EASI), Investigator's Global Assessment (IGA), body surface area (BSA) scores, TARC, LDH, total IgE, and eosinophil count in peripheral blood were assessed for a total of 32 weeks. RESULTS: The EASI, IGA, and BSA scores improved significantly with treatment, indicating a reduction in AD severity. Serum TARC and LDH levels also significantly decreased with treatment. Serum IgE levels were unchanged at 2 weeks of treatment but decreased significantly between 4 and 32 weeks. The number of eosinophils in the peripheral blood decreased at 4, 16, and 32 weeks after treatment initiation. CONCLUSIONS: Several studies have reported that serum TARC, LDH, and total IgE levels are reduced by dupilumab treatment. Our real-world data are the first to demonstrate a reduction in blood eosinophilia in patients who receive clinical treatment with dupilumab. CI - (c) 2020 the International Society of Dermatology. FAU - Yamauchi, Teruo AU - Yamauchi T AD - Department of Dermatology, Showa University School of Medicine, Tokyo, Japan. FAU - Sasaki, Shun AU - Sasaki S AD - Department of Dermatology, Showa University School of Medicine, Tokyo, Japan. FAU - Lee, Eun Seon AU - Lee ES AD - Department of Dermatology, Showa University School of Medicine, Tokyo, Japan. FAU - Tamura, Takayuki AU - Tamura T AD - Department of Dermatology, Showa University School of Medicine, Tokyo, Japan. FAU - Seki, Marina AU - Seki M AD - Department of Dermatology, Showa University School of Medicine, Tokyo, Japan. FAU - Miwa, Tasuku AU - Miwa T AD - Department of Dermatology, Showa University School of Medicine, Tokyo, Japan. FAU - Kobayashi, Kae AU - Kobayashi K AD - Department of Dermatology, Showa University School of Medicine, Tokyo, Japan. FAU - Saruta, Yusuke AU - Saruta Y AD - Department of Dermatology, Showa University School of Medicine, Tokyo, Japan. FAU - Kitami, Yuki AU - Kitami Y AD - Department of Dermatology, Showa University School of Medicine, Tokyo, Japan. FAU - Sueki, Hirohiko AU - Sueki H AD - Department of Dermatology, Showa University School of Medicine, Tokyo, Japan. FAU - Watanabe, Hideaki AU - Watanabe H AUID- ORCID: 0000-0002-9367-5167 AD - Department of Dermatology, Showa University School of Medicine, Tokyo, Japan. LA - eng PT - Journal Article DEP - 20200929 PL - England TA - Int J Dermatol JT - International journal of dermatology JID - 0243704 RN - 0 (Antibodies, Monoclonal, Humanized) RN - 420K487FSG (dupilumab) SB - IM MH - Antibodies, Monoclonal, Humanized MH - *Dermatitis, Atopic/drug therapy MH - *Eczema MH - *Eosinophilia/drug therapy MH - Humans MH - Retrospective Studies MH - Severity of Illness Index EDAT- 2020/09/30 06:00 MHDA- 2021/06/22 06:00 CRDT- 2020/09/29 05:39 PHST- 2020/05/27 00:00 [received] PHST- 2020/08/04 00:00 [revised] PHST- 2020/08/26 00:00 [accepted] PHST- 2020/09/30 06:00 [pubmed] PHST- 2021/06/22 06:00 [medline] PHST- 2020/09/29 05:39 [entrez] AID - 10.1111/ijd.15183 [doi] PST - ppublish SO - Int J Dermatol. 2021 Feb;60(2):190-195. doi: 10.1111/ijd.15183. Epub 2020 Sep 29.