Dear Editor,Chronic urticaria (CU) is a group of common and debilitating conditions containing both chronic spontaneous urticaria (CSU) and chronic inducible urticarias (CIndU) including cold urticaria (ColdU). While antihistamines and omalizumab are effective treatments for both CSU and ColdU, many patients show insufficient response to either or both of these treatments, and additional and better therapies are needed.Reslizumab is a humanized monoclonal anti‐interleukin 5 (IL‐5) antibody licensed for the treatment of severe eosinophilic asthma. IL‐5 is the major cytokine responsible for the recruitment, activation and survival of eosinophils, which play a crucial role in causing tissue and subsequent airway hyperresponsiveness in asthma. Previously, we demonstrated that eosinophil numbers are increased in the skin of CSU patients. Recently, we reported that treatment with mepolizumab, another monoclonal antibody against IL‐5, can result in the rapid remission of CSU.Here, we report the case of a 43‐year‐old woman with severe non‐allergic refractory eosinophilic asthma (non‐smoker, IgE 136 kU/L, skin prick test negative to pollen, mites and other common aeroallergens, eosinophils 540/μL, FEV1 75% predicted, asthma control test (ACT) 15 points, four asthma exacerbations in the last year, therapy including prednisolone 50–25 mg/day, LAMA and LABA) who was successfully treated for her asthma with
Journal of the European Academy of Dermatology & Venereology – Wiley
Published: Jan 1, 2018
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