Impact of dupilumab on patch test results and allergic contact dermatitis: A prospective multicenter study.

Abstract

BACKGROUND:

Limited and conflicting data have been reported on the impact of dupilumab (DUPI) on patch test (PT) results and its efficacy against allergic contact dermatitis (ACD).

OBJECTIVE:

This study was undertaken to analyze PT reactivities and relevance during treatment with DUPI to determine whether they could detect ACD in patients with uncontrolled or worsened atopic dermatitis (AD) who were receiving this agent.

METHODS:

This prospective, multicenter study examined 76 DUPI-treated patients who had undergone PTs. The relevant information was collected during 3 visits.

RESULTS:

Overall, 36 patients (47%) had ≥1 positive PT reaction, and 142 PT results were positive. Twenty-three patients (30%) had ≥1 positive and clinically relevant PT result. Five of them had clinical eczema improvement after allergen avoidance. We compared the PT results of 36 patients before and during DUPI therapy, representing 1230 paired PT allergens, of which 1022 were the same, 34 were positive, 44 were lost, and 130 were uninterpretable.

LIMITATIONS:

Because the number of patients included remains limited, our findings should be confirmed with a larger sample.

CONCLUSION:

Our results confirmed the usefulness of PTs for patients receiving DUPI, with good PT reproducibility. We suggest that all DUPI-treated patients with AD developing partial responses or experiencing symptom worsening should undergo PTs to look for contact sensitization.

• Authors: Sarah Bocquel, Angèle Soria, Nadia Raison-Peyron, Antoine Badaoui, Pierre Marcant, Corina Bara, Françoise Giordano-Labadie, Emmanuelle Amsler, Brigitte Milpied, Juliette Delaunay, Anne-Sophie Darrigade, Pauline Pralong, Claire Boulard, Marie-Christine Ferrier Le Bouedec, Marie Tauber, Justine Pasteur, Aude Valois, Aurélie Le Thuaut, Marie-Noëlle Crépy, Claire Bernier
• Journal: Journal of the American Academy of Dermatology (J Am Acad Dermatol) (Oct 21 2023) ISSN: 1097-6787 [Electronic] United States
• PMID: 37871801 (Publication Type: Journal Article)
• Copyright: Copyright © 2023 American Academy of Dermatology, Inc. Published by Elsevier Inc. All rights reserved.