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Targeting IgE in severe atopic dermatitis with a combination of immunoadsorption and omalizumab.

Acta Derm.-Venereol. 96, 72-76 (2016)
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Open Access Gold
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as soon as is submitted to ZB.
Patients with atopic dermatitis (AD) tend to have greatly elevated levels of serum immunoglobulin E (IgE). However, the role of IgE in the pathogenesis of AD is debated. This investigator-initiated open-label pilot study evaluates an anti-IgE-treatment approach by combining extracorporeal immunoadsorption and anti-IgE antibody omalizumab in 10 patients with severe, therapy-refractory AD. IgE levels decreased after immunoadsorption and decreased continuously in all patients during anti-IgE therapy. The reverse trend was observed during 6 months follow-up without treatment. In parallel with these observations, an improvement in AD was observed during the treatment period, with aggravation during follow-up. Further research is needed, based on the principle of reducing IgE levels in order to improve clinical symptoms, using a combination anti-IgE treatment approach, adjusted according to IgE levels.
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Publication type Article: Journal article
Document type Scientific Article
Keywords Atopic Dermatitis ; Atopic Eczema ; Immunoglobulin E ; Ige ; Immunoadsorption ; Omalizumab ; Anti-ige-treatment; Activation-regulated Chemokine; Food Allergy; Liver-transplantation; Therapy; Disease; Urticaria; Efficacy; Thymus
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