Treatment of estrogen-induced dermatitis with omalizumab.

Treatment of estrogen-induced dermatitis with omalizumab.
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用奥马珠单抗治疗雌激素诱发的皮炎。

DOI:
10.1016/j.jdcr.2019.03.007
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发表时间:
2019
期刊:
影响因子:
--
通讯作者:
Turner,MatthewJ
Turner,MatthewJ
中科院分区:
--
文献类型:
--
作者:
Ocana,JesusA;Bell,MariaC;Heskett,JordanB;Baker,WilliamH;Mousdicas,Nico;Turner,MatthewJ

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雌激素诱导的荨麻疹疹和皮炎的病理生理学仍有待确定。除了证明皮内雌激素给药可诱导患者荨麻疹疹外,Zondek和Bromberg 1报告称,来自雌激素敏感患者的血清可在初治患者中诱导类似的皮肤反应。这些研究人员还发现,在被动转移前将雌激素敏感患者的血清加热至56 ℃可降低这些荨麻疹皮疹的严重程度,从而使研究人员认为这些皮疹是抗体依赖性的。3我们患者的皮疹与月经有关的周期性过程,加上雌激素皮内试验阳性和皮疹的荨麻疹成分,使我们假设她的雌激素皮炎可能代表一种IgE介导的超敏反应,这是奥马珠单抗治疗试验的基础。
DiscussionThe pathophysiology of estrogen-induced urticarial eruptions and dermatitis remains to be defined. In addition to demonstrating that intradermal estrogen administration could induce urticarial eruptions in patients, Zondek and Bromberg 1 reported that serum from estrogen-sensitive patients could induce similar skin reaction in naïve patients. These investigators also found that heating serum from estrogen-sensitive patients to 56 C prior to passive transfer reduced the severity of these urticarial eruptions, leading the investigators to suggest these eruptions were antibody dependent. 3 The cyclical course of our patient's skin eruption in relation to menses, coupled with positive intradermal testing to estrogen and the urticarial component to the eruption led us to hypothesize her estrogen dermatitis might represent a type of IgE-mediated hypersensitivity reaction, which was the basis for a therapeutic trial of omalizumab.
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