Case Report: Dupilumab as a steroid-sparing therapeutic option in refractory anti-p200 pemphigoid: real-world effectiveness in a patient with significant comorbidities - Takeaways - MDSpire
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Clinical Case Study: Efficacy of Dupilumab as a Steroid-Sparing Treatment for Refractory Anti-p200 Pemphigoid in a Patient with Multiple Comorbidities

  • By

  • Aikaterini Kyriakou

  • Christos Minas

  • Antonios Fantakis

  • Athanasia Tsaousi

  • Anastasia Tsitlakidou

  • Parthena Meltzanidou

  • Anthi-Maria Lazaridi

  • Alexandra Fleva

  • Anastasia Giannakou

  • Elisavet Lazaridou

  • Aikaterini Patsatsi

  • September 7, 2026

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  • 1

    Anti-p200 pemphigoid is a rare autoimmune blistering disease with limited management evidence and often resembles bullous pemphigoid.

  • 2

    A 49-year-old woman with refractory anti-p200 pemphigoid experienced significant corticosteroid toxicity after failing high-dose prednisone and dapsone.

  • 3

    Dupilumab was initiated as a steroid-sparing treatment, leading to substantial improvement in pruritus and near-complete remission within two months.

  • 4

    After six months of dupilumab treatment, the patient maintained disease control and successfully tapered prednisone from 60 mg/day to 2.5 mg/day.

  • 5

    No treatment-related adverse events were observed during the six-month follow-up after starting dupilumab.

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