Eosinophilic granulomatosis polyangiitis (EGPA) complicated with periaortitis, precipitating role of dupilumab? A case report a review of the literature

被引:3
|
作者
Kai, Martine [1 ]
Vion, Pierre-Adrien [2 ]
Boussouar, Samia [3 ]
Cacoub, Patrice [1 ]
Saadoun, David [1 ]
Le Joncour, Alexandre [1 ]
机构
[1] Mondor Hosp, AP HP, Dept Internal Med & Clin Immunol, Paris, France
[2] AP HP, Nucl Radiol, Paris, France
[3] AP HP, Radiol, Paris, France
来源
RMD OPEN | 2023年 / 9卷 / 03期
关键词
Systemic vasculitis; Inflammation; Cardiovascular Diseases; VASCULITIDES;
D O I
10.1136/rmdopen-2023-003300
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Eosinophilic granulomatosis with polyangiitis (EGPA) is an ANCA-associated vasculitis that affects small size vessels. Only four cases of periaortitis associated with EGPA have been reported in the literature. We report the case of a 67-year-old woman with EGPA who developed periaortitis 11 months after the initiation of dupilumab for uncontrolled asthma with hypereosinophilia. Complete remission of the periaortitis, and of EGPA, was obtained after switching from dupilumab to mepolizumab combined with oral prednisone therapy. Dupilumab has been associated with hypereosinophilia, that is usually asymptomatic and transitory, but symptomatic cases including EGPA were exceptionally reported. Although causality has not yet been established, caution is advisable when prescribing dupilumab for uncontrolled asthma with features that might suggest EGPA.
引用
收藏
页数:5
相关论文
共 50 条
  • [1] Eosinophilic granulomatosis with polyangiitis complicated by cholecystitis: a case report and review of the literature
    Lu Ye
    Xiaoyong Lu
    Jing Xue
    Clinical Rheumatology, 2016, 35 : 259 - 263
  • [2] Eosinophilic granulomatosis with polyangiitis complicated by cholecystitis: a case report and review of the literature
    Ye, Lu
    Lu, Xiaoyong
    Xue, Jing
    CLINICAL RHEUMATOLOGY, 2016, 35 (01) : 259 - 263
  • [3] Eosinophilic Granulomatosis with Polyangiitis (EGPA): A case report with atypical presentation
    Mahmood, Khalid
    Butt, Nauman Ismat
    Ashfaq, Fahmina
    Aftab, Sabeen
    PAKISTAN JOURNAL OF MEDICAL SCIENCES, 2023, 39 (01)
  • [4] Eosinophilic granulomatosis with polyangiitis: case report and literature review
    Alam, Vardah
    Nanzer, Alexandra M.
    BREATHE, 2022, 18 (04)
  • [5] Eosinophilic cholangitis with eosinophilic granulomatosis with polyangiitis: A case report and review of the literature
    Yoshihara, Risa
    Komai, Toshihiko
    Nagafuchi, Yasuo
    Tsuchida, Yumi
    Shoda, Hirofumi
    Tanaka, Mariko
    Ushiku, Tetsuo
    Fujio, Keishi
    ALLERGOLOGY INTERNATIONAL, 2020, 69 (01) : 154 - 156
  • [6] Intracerebral hemorrhage revealing eosinophilic granulomatosis with polyangiitis (EGPA): A case report
    Frikha, F.
    Ellouz, E.
    Damak, C.
    Hentati, Y.
    Mekki, S.
    Bahloul, Z.
    REVUE NEUROLOGIQUE, 2022, 178 (06) : 631 - 633
  • [7] Eosinophilic granulomatosis with polyangiitis complicated by subarachnoid hemorrhage and coronary vasculitis: a case report and review of the literature
    Matsuda, Shogo
    Yoshida, Shuzo
    Fujiki, Youhei
    Satomi, Hidetoshi
    Takeuchi, Tohru
    Hirose, Yoshinobu
    Makino, Shigeki
    Arawaka, Shigeki
    RHEUMATOLOGY INTERNATIONAL, 2018, 38 (04) : 689 - 696
  • [8] Eosinophilic granulomatosis with polyangiitis complicated by subarachnoid hemorrhage and coronary vasculitis: a case report and review of the literature
    Shogo Matsuda
    Shuzo Yoshida
    Youhei Fujiki
    Hidetoshi Satomi
    Tohru Takeuchi
    Yoshinobu Hirose
    Shigeki Makino
    Shigeki Arawaka
    Rheumatology International, 2018, 38 : 689 - 696
  • [9] Eosinophilic granulomatosis with polyangiitis presenting with eosinophilic myositis: A case report and review of literature
    Kokubu, Hiraku
    Maeda, Yasuhiro
    Kato, Miwa
    Asada, Haruki
    Kobayashi, Yoshimichi
    Takahashi, Toshifumi
    Fujimoto, Noriki
    DERMATOLOGICA SINICA, 2024, 42 (03)
  • [10] A young woman with asthma and eosinophilia: a case report of Eosinophilic Granulomatosis with PolyAngiitis (EGPA)
    Vaerenberg, Carolien
    Even, Pjotr
    Hajian, Bita
    Aerts, Olivier
    Horst, Niels
    Siozopoulou, Vasiliki
    De Backer, Wilfried
    ACTA CLINICA BELGICA, 2015, 70 : 11 - 12