Эффективность и безопасность дупилумаба при тяжелом атопическом дерматите у детей в возрасте до 6 лет: два клинических случая

Обоснование. Атопический дерматит (АтД) в большинстве случаев манифестирует в первый год жизни. Ранняя манифестация болезни ассоциирована с развитием сопутствующих атопических состояний в рамках феномена «атопического марша». Патогенез АтД связан с наличием генетической предрасположенности, дисфункцией эпидермального барьера, а также иммунной дисрегуляцией. Именно Т2-воспаление, определяющее весь иммунный каскад воспалительных реакций, обусловливает необходимость ранней медикаментозной интервенции с целью модификации течения болезни. Описание клинического случая. В статье представлено описание двух клинических случаев тяжелого АтД у детей в возрасте до 6 лет. В обоих случаях лечение проведено с применением генно-инженерного биологического препарата дупилумаб. На фоне непрерывной терапии в течение 4–5 мес удалось купировать кожные проявления болезни.

Заключение. АтД, манифестирующий в младенческом возрасте, ассоциирует с высоким риском развития в старшем возрасте других заболеваний атопического спектра. Своевременное назначение биологической терапии позволяет воздействовать на иммунную дисрегуляцию, тем самым помогая предотвратить развитие сопутствующих атопических состояний.

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