Hyperthyroidism in a 15-year-old adolescent treated with Dupilumab for severe allergic asthma and atopic dermatitis

Allergol Immunopathol (Madr). 2023 May 1;51(3):181-185. doi: 10.15586/aei.v51i3.786. eCollection 2023.

Abstract

Dupilumab is a biologic, acting on IL-4 and IL-13 pathways. Dupilumab has a pediatric indication for treating severe asthma and atopic dermatitis. We report a pediatric case concerning paucisymptomatic, transient, and self-resolving hyperthyroidism. The updated literature includes the case of an adult patient who reported with hyperthyroidism, which was transient and self-resolving. Despite that these cases were transient and self-resolving, we would suggest that thyroid function assessment could be included in the follow-up of patients treated with Dupilumab. Dupilumab discontinuation is not required pending endocrinological assessment, mainly if there is an optimal clinical response to the biologic.

Keywords: Asthma; Atopic Dermatitis; Childhood; Dupilumab; Thyroid Function.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Adult
  • Antibodies, Monoclonal / therapeutic use
  • Asthma* / drug therapy
  • Biological Products* / therapeutic use
  • Child
  • Dermatitis, Atopic* / drug therapy
  • Humans
  • Hypersensitivity* / drug therapy
  • Hyperthyroidism* / drug therapy
  • Severity of Illness Index
  • Treatment Outcome

Substances

  • dupilumab
  • Antibodies, Monoclonal
  • Biological Products