Identification of Risk Factors for Dupilumab-associated Ocular Surface Disease in Patients with Atopic Dermatitis

Authors

  • Roselie E. Achten Department of Dermatology and Allergology, University Medical Center Utrecht, Heidelberglaan 100, NL-3584 CX Utrecht, the Netherlands
  • Chantal M. van Luijk
  • Lisa P. van der Rijst
  • Daphne S. Bakker
  • Lotte S. Spekhorst
  • Nicolaas P. A. Zuithoff
  • Marie L. A. Schuttelaar
  • Geertruida L. E. Romeijn
  • Angelique N. Voorberg
  • Marijke Kamsteeg
  • Inge M. Haeck
  • Marlies de Graaf
  • Judith L. Thijs
  • Joke H. de Boer
  • Marjolein S. de Bruin-Weller

DOI:

https://doi.org/10.2340/actadv.v102.1128

Keywords:

conjunctivitis, dupilumab, dupilumab-associated ocular surface disease, DAOSD

Abstract

This study identified risk factors for the development of dupilumab-associated ocular surface disease in patients with moderate-to-severe atopic dermatitis in a large prospective daily practice cohort. Data from the Dutch BioDay Registry were used to assess the risk of developing dupilumab-associated ocular surface disease, by performing univariate and multivariate logistic regression analyses. A total of 469 patients were included, of which 152/469 (32.4%) developed dupilumab-associated ocular surface disease. Multivariate analysis showed a statistically significant association of the development of dupilumab-associated ocular surface disease with a history of any eye disease (history of self-reported episodic acute allergic conjunctivitis excluded) combined with the use of ophthalmic medication at the start of dupilumab (odds ratio 5.16, 95% confidence interval 2.30–11.56, p < 0.001). In conclusion, a history of any eye disease (history of self-reported episodic acute allergic conjunctivitis excluded) combined with the use of ophthalmic medication at baseline was associated with the development of dupilumab-associated ocular surface disease in patients with atopic dermatitis.

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Additional Files

Published

2022-03-10

How to Cite

Achten, R. E., van Luijk, C., van der Rijst, L. ., Bakker, D., Spekhorst, L., Zuithoff, N., … de Bruin-Weller, M. (2022). Identification of Risk Factors for Dupilumab-associated Ocular Surface Disease in Patients with Atopic Dermatitis. Acta Dermato-Venereologica, 102, adv00666. https://doi.org/10.2340/actadv.v102.1128

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