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Integrated Clinical Trial and Molecular Profiling Reveals Immune Drivers of Chronic Hand Eczema - PubMed

4 days ago
  • #dupilumab
  • #chronic hand eczema
  • #immune signature
  • Chronic hand eczema (CHE) is a complex skin condition with pain, itch, and inflammation, resembling atopic dermatitis, contact dermatitis, and psoriasis.
  • A phase 2b clinical trial showed dupilumab (IL4Rα-blockade) significantly improved CHE symptoms and quality of life over 16 weeks.
  • Molecular profiling revealed CHE shares immune signatures with atopic dermatitis and psoriasis, involving type 1, 2, and 3 immunity.
  • Dupilumab treatment restored skin barrier and immune homeostasis in CHE patients, independent of atopic dermatitis background.
  • The study suggests IL-4Rα blockade as a promising therapy for CHE, addressing mixed immune dysregulation.