Clinical response of CARD14-associated papulosquamous eruption to an anti-interleukin-17A antibody.

Klein, Benjamin; Treudler, Regina; Dumann, Konstantin; Boldt, Andreas; Schumann, Isabell; Simon, Jan C; Kunz, Manfred · Br J Dermatol · 2022

case_report · Level V

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Abstract

Here we present another family with CARD14-associated papulosquamous eruption, which is characterized by mutations in CARD14 and skin lesions resembling psoriasis and pityriasis rubra pilaris. We show beneficial therapeutic response to anti-IL17A treatment in one patient and performed immunomonitoring of our patient, exhibiting enhanced pSTAT3 levels in T cells before treatment, which normalized after treatment. Together, our data support the pathogenic role of IL-17A in this disease, which might have consequences for future treatment decisions in this rare condition.

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