Uveitis and hypereosinophilia associated with dupilumab in an atopic dermatitis patient

J Dermatolog Treat. 2023 Dec;34(1):2229466. doi: 10.1080/09546634.2023.2229466.

Abstract

Uveitis is a rare adverse event of dupilumab, that typically affects both eyes and often leads to discontinuation of therapy. In this article, we report a case of a 28-year-old female with atopic dermatitis who developed new-onset iridocyclitis, a form of uveitis, in her left eye 2 weeks after starting dupilumab treatment, which improved after reducing the dose, without discontinuing dupilumab. The patient also experienced asymptomatic hypereosinophilia, possibly related to dupilumab, which was gradually relieved without discontinuation. With the readers, we share our experience in managing uveitis and hypereosinophilia associated with dupilumab, which may be helpful in managing these conditions and avoiding discontinuation of dupilumab.

Keywords: Dupilumab; atopic dermatitis; biologics; hypereosinophilia; uveitis.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Antibodies, Monoclonal, Humanized / adverse effects
  • Dermatitis, Atopic* / drug therapy
  • Eosinophilia* / chemically induced
  • Eosinophilia* / drug therapy
  • Female
  • Humans
  • Treatment Outcome
  • Uveitis* / chemically induced
  • Uveitis* / drug therapy

Substances

  • dupilumab
  • Antibodies, Monoclonal, Humanized