Journal of International Medical Research (Aug 2023)

Dupilumab in a patient with severe asthma and glucocorticoid hypersensitivity: a case report

  • Hiroshi Handa,
  • Hajime Tsuruoka,
  • Kohei Kinoshita,
  • Masamichi Mineshita

DOI
https://doi.org/10.1177/03000605231193922
Journal volume & issue
Vol. 51

Abstract

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Recently, several biologics have been approved for the treatment of severe asthma. Dupilumab, a biologic used to treat severe asthma, is a monoclonal antibody targeting interleukin-4 and interleukin-13. In the present case, inhaled corticosteroid-induced glucocorticoid hypersensitivity was suspected, and the administration of omalizumab and mepolizumab had no beneficial effects. Subsequently, we switched to dupilumab therapy, which produced better effectiveness. Therefore, when a biologic agent proves ineffective, changing to another suitable biologic agent should be considered.