Büllöz Pemfigoid Tedavisinde Omalizumab: Tek Merkez Deneyimi

Year 2024, Volume: 46 Issue: 4, 637 - 642, 16.07.2024

Esra Ağaoğlu Hilal Kaya Erdogan Ersoy Acer Halil İbrahim Yanık Zeynep Nurhan Saraçoğlu

https://doi.org/10.20515/otd.1474691

Abstract

Büllöz pemfigoid yaşlı popülasyonda en sık görülen ve birçok komorbiditenin eşlik ettiği büllöz dermatozdur. İmmünoglobulin-E (Ig-E) antikorları hastalığın patogenezinde önemli bir rol oynadığından, Ig-E'yi hedef alan omalizumab etkili ve güvenli bir profil göstermektedir. Bu çalışmada büllöz pemfigoid hastalarda omalizumabın etkinlik ve güvenilirliğini değerlendirmeyi amaçladık. Çalışmaya büllöz pemfigoid tanısıyla en az 3 ay omalizumab tedavisi alan 19 hasta dahil edildi. Hastaların tamamında en az bir eşlik eden hastalık mevcuttu; en sık görüleni hipertansiyon (%79.0) ve tip 2 diyabet (%68.4) idi. Ortalama omalizumab tedavi sayısı 7.0±2.9 idi. Omalizumab tedavisi ile hastaların 11 (%57.9) 'inde tam yanıt, 8 (%42.1)'inde kısmi yanıt elde edildi. Tam yanıt alınan tüm hastalarda başlangıç sistemik steroid dozu azaltılabildi. Tüm hastalar omalizumabı yan etki olmaksızın tolere etti. Sonuç olarak omalizumab ileri yaş ve çoklu komorbiditeleri olan hastalarda sistemik kortikosteroid ihtiyacını azaltan etkili ve güvenli bir tedavi seçeneğidir. Omalizumabın büllöz pemfigoid tedavisinde etkinliğini değerlendirmek için daha büyük ölçekli ve prospektif çalışmalara ihtiyaç vardır.

Keywords

Omalizumab, büllöz pemfigoid, immunoglobulin-E

Omalizumab for the Treatment of Bullous Pemphigoid: A Single Center Experience

Abstract

Bullous pemphigoid is the most common bullous dermatosis seen in elderly population and accompanied by many comorbidities. Since immunoglobuline-E (Ig-E) antibodies play an important role in the pathogenesis of the disease, omalizumab targeting Ig-E proposes an effective and safe profile. In this study, we aimed to evaluate the efficacy and safety of omalizumab in bullous pemphigoid patients. Nineteen patients who received omalizumab treatment for at least 3 months with the diagnosis of bullous pemphigoid were included in the study. All patients had at least 1 comorbid condition, the most common being hypertension (79.0%) and type 2 diabetes mellitus (68.4%). The mean number of omalizumab treatments was 7.0±2.9. With omalizumab treatment, complete response was achieved in 11 (57.9%) of the patients and partial response was achieved in 8 (42.1%). The initial systemic steroid dose could be reduced in all patients with a complete response. All patients tolerated omalizumab without side‐effects. In conclusion, omalizumab is an effective and safe treatment option that reduces the need for systemic corticosteroids in patients with older age and multiple comorbidities. Further large-scale and prospective studies are needed to evaluate the efficacy of omalizumab in the treatment of bullous pemphigoid.

Keywords

Omalizumab, bullous pemphigoid, immunoglobulin-E

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