Eczéma induit par les anti-IL-17 et le yin-yang Th2/Th17 [Anti-IL17 induced eczema and the yin-yang of Th2 and Th17]

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State: Public
Version: Final published version
License: CC BY-NC-ND 4.0
Serval ID
serval:BIB_A467263B846F
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Eczéma induit par les anti-IL-17 et le yin-yang Th2/Th17 [Anti-IL17 induced eczema and the yin-yang of Th2 and Th17]
Journal
Revue medicale suisse
Author(s)
Nidegger A., Jenelten R., Conrad C.
ISSN
1660-9379 (Print)
ISSN-L
1660-9379
Publication state
Published
Issued date
30/03/2022
Peer-reviewed
Oui
Volume
18
Number
775
Pages
574-577
Language
french
Notes
Publication types: Case Reports ; Journal Article
Publication Status: ppublish
Abstract
Biologics targeting specific cytokines and pathways have revolutionized the management of patients with chronic inflammatory diseases. However, these treatments have their limitations and, surprisingly, can induce novel inflammatory diseases. Here, we present a case of a psoriasis patient developing anti-IL17 induced eczema, an intriguing side effect of IL-17 blockade. The coexistence of psoriasis and eczema in a single patient is uncommon given their distinct and opposing immune mechanisms. Psoriasis is mainly driven by Th17 cells, whereas atopic dermatitis is Th2-dominated. In this article, we propose the yin yang of Th2 and Th17 with IL-4 and IL17 as principal antipodal vectors that control each other. Thus, blocking one of these cytokines can tip the balance between Th2 and Th17 and lead to the induction of the opposing inflammatory pathway via lifting the controlling mediator.
Keywords
Eczema, Humans, Interleukin-17, Psoriasis/drug therapy, Th17 Cells/metabolism, Yin-Yang
Pubmed
Create date
11/04/2022 9:38
Last modification date
07/11/2023 8:20
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