Friday, 6 May 2022

New Case Report on Punctal Stenosis -A Rare Complication of Dupilumab Therapy for Atopic Dermatitis | Chapter 04 | New Horizons in Medicine and Medical Research Vol. 7

 Background: Dupilumab is a biological medicine licenced for the treatment of moderate to severe atopic dermatitis (AD) that has been shown in clinical trials to have a strong therapeutic effect and ability to improve quality of life. The most prevalent side effects of dupilumab therapy were upper respiratory tract infection, headache, nasopharyngitis, injection-site reaction, herpes viral infection, and conjunctivitis. Punctal stenosis, also known as dupilumab-induced lacrimal duct obstruction, is a rare and poorly understood side effect of the medicine.

Aim: To present a novel case of a young female with a history of Alzheimer's disease but no prior major ocular signs who developed right eye punctal stenosis after one year of Dupilumab medication.

Case Report: A 19-year-old female with a long history of Alzheimer's disease who developed severe punctal stenosis and continued tearing from her right eye in the last two months and was on dupilumab therapy for a year did not respond to conservative ophthalmological drugs, but completely improved after discontinuing dupilumab injection over a 6-month follow-up period.

Conjunctivitis is a well-known side effect of Dupilumab injections in people with Alzheimer's disease. If conjunctivitis and eye tears persist following ophthalmology treatment, punctal stenosis may be suspected, and dupilumab should be discontinued.

Author(S) Details

Waqas S. Abdulwahhab
Department of Dermatology and Venereology, Al Qassimi Hospital, Sharjah, United Arab Emirates.

Fatima Ibrahim Alamiri
Department of Ophthalmology, Al Qassimi Hospital, Sharjah, United Arab Emirates.

Alaa S. Mehair
Department of Dermatology and Venereology, Al Qassimi Hospital, Sharjah, United Arab Emirates.

Fatma Abdulghaffar Qaderi
Department of Dermatology and Venereology, Al Qassimi Hospital, Sharjah, United Arab Emirates.

View Book:- https://stm.bookpi.org/NHMMR-V7/article/view/6662

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