Severe eosinophilic asthma and aspirin-exacerbated respiratory disease associated to eosinophilic gastroenteritis treated with mepolizumab: a case report.

AERD Asthma Eosinophilic Gastroenteritis

Journal

Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology
ISSN: 1710-1484
Titre abrégé: Allergy Asthma Clin Immunol
Pays: England
ID NLM: 101244313

Informations de publication

Date de publication:
2020
Historique:
received: 03 02 2020
accepted: 03 04 2020
entrez: 28 4 2020
pubmed: 28 4 2020
medline: 28 4 2020
Statut: epublish

Résumé

Mepolizumab (MEP) is the first anti Interleukin (IL)-5 add-on therapy approved for the treatment of severe refractory eosinophilic asthma. We describe here the case of a 49 years-old woman with Aspirin-exacerbated respiratory disease (AERD), chronic rhinosinusitis, nasal polyposis and eosinophilic gastroenteritis successfully treated with MEP. Several laboratory and clinical items improved during therapy; moreover MEP showed to be useful as steroid sparing agent. This case supports that the use of mepolizumab can be effective also in other eosinophilic conditions different from asthma and this opens to new therapeutic perspectives.

Sections du résumé

BACKGROUND BACKGROUND
Mepolizumab (MEP) is the first anti Interleukin (IL)-5 add-on therapy approved for the treatment of severe refractory eosinophilic asthma.
CASE PRESENTATION METHODS
We describe here the case of a 49 years-old woman with Aspirin-exacerbated respiratory disease (AERD), chronic rhinosinusitis, nasal polyposis and eosinophilic gastroenteritis successfully treated with MEP. Several laboratory and clinical items improved during therapy; moreover MEP showed to be useful as steroid sparing agent.
CONCLUSIONS CONCLUSIONS
This case supports that the use of mepolizumab can be effective also in other eosinophilic conditions different from asthma and this opens to new therapeutic perspectives.

Identifiants

pubmed: 32336975
doi: 10.1186/s13223-020-00423-3
pii: 423
pmc: PMC7178951
doi:

Types de publication

Case Reports

Langues

eng

Pagination

27

Informations de copyright

© The Author(s) 2020.

Déclaration de conflit d'intérêts

Competing interestsI declare that I haven’t competing interests.

Références

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Auteurs

C Caruso (C)

1Allergy Unit, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Rome, Italy.

S Colantuono (S)

1Allergy Unit, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Rome, Italy.
2Department of Translational and Precision Medicine, Sapienza University, Rome, Italy.

D Pugliese (D)

3IBD UNIT Presidio Columbus, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.

C Di Mario (C)

4Division of Rheumatology, Università Cattolica del Sacro Cuore, Rome, Italy.

B Tolusso (B)

5Division of Rheumatology, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.

E Gremese (E)

4Division of Rheumatology, Università Cattolica del Sacro Cuore, Rome, Italy.
5Division of Rheumatology, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.

G Papparella (G)

6Digestive Endoscopy Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.

F Castrì (F)

7Polo Scienze della Salute della Donna e del Bambino-Area Anatomia Patologica-Fondazione Policlinico Universitario A. Gemelli IRCCS, Università Cattolica del Sacro Cuore, Rome, Italy.

A Gasbarrini (A)

8Department of Internal Medicine and Gastroenterology, Fondazione Policlinico A. Gemelli IRCCS, Università Cattolica Sacro Cuore, Rome, Italy.

A Romano (A)

Casa di Cura Quisisana, Rome & Fondazione Mediterranea G.B. Morgagni, Catania, Italy.

A Armuzzi (A)

3IBD UNIT Presidio Columbus, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.

Classifications MeSH