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Eosinophilic Organ Complications Associated with Dupilumab Therapy - Narrative Review and Current Evidence - PubMed

6 hours ago
  • #Eosinophilic Complications
  • #Pharmacovigilance
  • #Dupilumab
  • Dupilumab is effective for type 2 inflammatory diseases but can rarely cause eosinophilic adverse events.
  • A literature review identified 52 cases, with symptoms like eosinophilic pneumonia, EGPA, and hypereosinophilic syndrome often appearing within three months of treatment.
  • A case study highlighted a patient developing eosinophilic pleural effusions after nine months, resolving only after discontinuing dupilumab.
  • VigiBase data shows significant reporting of eosinophilic events linked to dupilumab, including EGPA, HES, and eosinophilic pneumonia.
  • Management typically involves stopping dupilumab and using corticosteroids, but rechallenge often leads to recurrence.
  • Long-term monitoring and individualized risk assessments are recommended for patients on dupilumab therapy.