16 would be assessed, considering the main response variable as a 50% reduction in the Eczema Area and Severity Index (EASI), EASI-50. In addition, the intensity reduction of the pruritus according to the Numerical Rating Scale (NRS) as well as the variation in the quality of life according to the Dermatology Life Quality Index (DLQI). Results The baseline EASI, NRS and DLQI values were respectively: 23, 6 and 23. Three days after first administration, the patient suffered from headache, low-grade fever and intense itching. One month later lesions were clearer and smaller, but the patient developed intense conjunctivitis requiring treatment with levocabastine. The EASI, NRS and DLQI values at week 16 were respectively: 7, 8.3 and 9. The EASI percentage reduction was 66%. Three months' later conjunctivitis persisted, not improved with antihistamines, and topical corticosteroids. In addition, the patient referred episodes of anxiety and erectile dysfunction. These AEs were reported to the Pharmacovigilance Centre. All this caused treatment discontinuation. Conclusion Clinical improvement was evident, also quantitatively according to the used scales. Post-injection EAs are common in most patients. In this case, conjunctivitis was limiting and forced treatment suspension. EAs not described in the literature previously were found and associated with dupilumab, given the temporal match. According to subsequent experience with other patients, prophylaxis with artificial tears can be effective in the prevention of conjunctivitis, showing that dupilumab is an effective alternative in patients refractory to other therapies.
REFERENCES AND/OR ACKNOWLEDGEMENTSThanks to the Dermatology Department for its collaboration.
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