揭示杜匹单抗的治疗潜力:1例老年患者covid -19后慢性瘙痒的治疗报告

Shakira Meltan, Ethan Matthew, Michelle Tarbox
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摘要

本病例报告描述了一名73岁的白人男性,他感染了COVID-19,并在此之后与慢性严重瘙痒作斗争。患者瘙痒对许多常规和非常规治疗方式产生了抵抗作用,凸显了治疗covid -19后皮肤症状的难度。Dupixent是一种抑制白细胞介素-4和白细胞介素-13信号传导的单克隆抗体,治疗后患者瘙痒明显减轻。Dupixent的使用显著改善了病情的治疗。该报告描述了患者的经历,从感染COVID-19后首次出现症状,经过几次无效的治疗,直到患者在开始服用Dupixent后症状消失。患者近期的SARS-CoV-2感染可能与患者组织病理学结果显示的免疫介导过程有关。尽管这些结果是基于单个实例,但它们强调了COVID-19引起慢性瘙痒的能力,并推荐Dupixent作为一种可能的治疗方法。需要更多的研究来证实这些发现,并调查COVID-19与慢性瘙痒之间可能的免疫学联系。
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Revealing the therapeutic potential of dupilumab: a case report on managing post-COVID-19 chronic pruritus in a geriatric patient
This case report describes a 73-year-old Caucasian male who contracted COVID-19 and struggled with chronic, severe pruritus after that. The patient's pruritus resisted numerous conventional and unconventional therapy modalities, highlighting the difficulty of treating post-COVID-19 dermatological symptoms. Pruritus in the patient was significantly alleviated due to therapy with Dupixent, a monoclonal antibody that inhibits interleukin-4 and interleukin-13 signaling. Treatment of the condition improved significantly with the use of Dupixent. The report describes the story of the patient's journey, from the first-time symptoms showed up after COVID-19 infection, through several treatments that was not effective, to when the patient's symptoms disappeared after starting Dupixent. The patient's recent SARS-CoV-2 infection may be connected to the immune-mediated process shown by the patient's histopathological results. Even though these results are based on a single instance, they highlight COVID-19's ability to cause chronic pruritus and recommend Dupixent as a possible treatment approach. More study is required to confirm these findings and investigate possible immunological connections between COVID-19 and chronic pruritus.
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