Dupilumab-related type 1 diabetes in a patient with atopic dermatitis: a case report.

Adolescent Autoimmune disease Dupilumab Human leukocyte antigen Type 1 diabetes

Journal

Diabetology international
ISSN: 2190-1678
Titre abrégé: Diabetol Int
Pays: Japan
ID NLM: 101553224

Informations de publication

Date de publication:
Jan 2022
Historique:
received: 20 05 2021
accepted: 27 07 2021
entrez: 21 1 2022
pubmed: 22 1 2022
medline: 22 1 2022
Statut: epublish

Résumé

Dupilumab, a humanized monoclonal antibody that inhibits both interleukin (IL)-4 and IL-13 signals, is used as a treatment for a variety of allergic diseases including atopic dermatitis. We experienced a case of dupilumab-related type 1 diabetes in a patient with atopic dermatitis. An 18-year-old female presented with thirst and polydipsia seven months after initiating dupilumab therapy for atopic dermatitis and was found to have marked hyperglycemia with ketosis. She was positive for anti-glutamic acid decarboxylase antibody, leading to the diagnosis of type 1 diabetes. She carried human leukocyte antigen (HLA) genes associated with type 1 diabetes. Most type 1 diabetes is considered a T-helper (Th) 1 type autoimmune disease, whereas IL-4 and IL-13, which are Th2 cytokines, play inhibitory roles in the pathogenesis of type 1 diabetes. This case implies that dupilumab might contribute to the development of type 1 diabetes in individuals with a genetic background of type 1 diabetes via relative Th1 dominance. To our knowledge, this is the first case of the development of type 1 diabetes during dupilumab therapy. As dupilumab therapy might accelerate the development of type 1 diabetes, it is important to note cases like this case to clarify the pathogenic mechanisms underlying dupilumab-related type 1 diabetes.

Identifiants

pubmed: 35059267
doi: 10.1007/s13340-021-00526-1
pii: 526
pmc: PMC8733041
doi:

Types de publication

Case Reports

Langues

eng

Pagination

300-303

Informations de copyright

© The Japan Diabetes Society 2021.

Déclaration de conflit d'intérêts

Conflict of interest A.S. received lecture fees from Novo Nordisk Pharma Ltd., Tokyo, Japan, and Sanofi K.K., Tokyo, Japan. Other authors have no potential conflicts of interest relevant to this article.

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Auteurs

Yasuharu Kurokawa (Y)

Division of Diabetes, Endocrinology and Metabolism, Department of Internal Medicine, Federation of National Public Service Personnel Mutual Aid Associations Tachikawa Hospital, 4-2-22 Nishikicho, Tachikawa, Tokyo 190-8531 Japan.

Yoichi Oikawa (Y)

Department of Endocrinology and Diabetes, School of Medicine, Saitama Medical University, Saitama, 350-0495 Japan.

Akira Shimada (A)

Department of Endocrinology and Diabetes, School of Medicine, Saitama Medical University, Saitama, 350-0495 Japan.

Ken Yajima (K)

Division of Diabetes, Endocrinology and Metabolism, Department of Internal Medicine, Federation of National Public Service Personnel Mutual Aid Associations Tachikawa Hospital, 4-2-22 Nishikicho, Tachikawa, Tokyo 190-8531 Japan.

Classifications MeSH