Efficacy of hydroxychloroquine and omalizumab in a patient with systemic lupus erythematosus, Hashimoto thyroiditis and refractory chronic spontaneous urticaria

A 15-year-old girl was admitted to an external center 1 month ago with symptoms of generalized pruritus, rash and blistering all over the body, and swelling of the eyes and lips. The patient was started on desloratadine, but there was no improvement in her symptoms. She had been diagnosed with Hashi...

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Main Authors: Öner Özdemir, Ümmügülsüm Dikici, Sena Sultan Karaca
Format: Article
Language:English
Published: Termedia Publishing House 2024-11-01
Series:Alergologia Polska
Subjects:
Online Access:https://www.termedia.pl/Efficacy-of-hydroxychloroquine-and-omalizumab-in-a-patient-with-systemic-lupus-erythematosus-Hashimoto-thyroiditis-and-refractory-chronic-spontaneous-urticaria,123,55175,1,1.html
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author Öner Özdemir
Ümmügülsüm Dikici
Sena Sultan Karaca
author_facet Öner Özdemir
Ümmügülsüm Dikici
Sena Sultan Karaca
author_sort Öner Özdemir
collection DOAJ
description A 15-year-old girl was admitted to an external center 1 month ago with symptoms of generalized pruritus, rash and blistering all over the body, and swelling of the eyes and lips. The patient was started on desloratadine, but there was no improvement in her symptoms. She had been diagnosed with Hashimoto’s thyroiditis 4 years ago in the pediatric endocrinology department; she had been using levothyroxine since then, and her thyroid disease was under control. The dose of antihistamine treatment was increased and montelukast was added. The patient, who had Raynaud’s phenomenon, was diagnosed with systemic lupus erythematosus and hydroxychloroquine was started, but the symptoms of urticaria and angioedema did not decrease. The patient was then started on omalizumab and urticaria was controlled under hydroxychloroquine + omalizumab. In the third month of omalizumab discontinuation, the patient is receiving hydroxychloroquine and levothyroxine treatments and continues to be followed up, being in remission in terms of chronic spontaneous urticaria.
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institution Kabale University
issn 2353-3854
2391-6052
language English
publishDate 2024-11-01
publisher Termedia Publishing House
record_format Article
series Alergologia Polska
spelling doaj-art-550c2adf414a4d8f8bf471ec5b5dfc4c2025-01-27T10:35:03ZengTermedia Publishing HouseAlergologia Polska2353-38542391-60522024-11-0111433533810.5114/pja.2024.14518755175Efficacy of hydroxychloroquine and omalizumab in a patient with systemic lupus erythematosus, Hashimoto thyroiditis and refractory chronic spontaneous urticariaÖner ÖzdemirÜmmügülsüm DikiciSena Sultan KaracaA 15-year-old girl was admitted to an external center 1 month ago with symptoms of generalized pruritus, rash and blistering all over the body, and swelling of the eyes and lips. The patient was started on desloratadine, but there was no improvement in her symptoms. She had been diagnosed with Hashimoto’s thyroiditis 4 years ago in the pediatric endocrinology department; she had been using levothyroxine since then, and her thyroid disease was under control. The dose of antihistamine treatment was increased and montelukast was added. The patient, who had Raynaud’s phenomenon, was diagnosed with systemic lupus erythematosus and hydroxychloroquine was started, but the symptoms of urticaria and angioedema did not decrease. The patient was then started on omalizumab and urticaria was controlled under hydroxychloroquine + omalizumab. In the third month of omalizumab discontinuation, the patient is receiving hydroxychloroquine and levothyroxine treatments and continues to be followed up, being in remission in terms of chronic spontaneous urticaria.https://www.termedia.pl/Efficacy-of-hydroxychloroquine-and-omalizumab-in-a-patient-with-systemic-lupus-erythematosus-Hashimoto-thyroiditis-and-refractory-chronic-spontaneous-urticaria,123,55175,1,1.htmlsystemic lupus erythematosus hashimoto’s thyroiditis chronic spontaneous urticaria omalizumab hydro­xychloroquine
spellingShingle Öner Özdemir
Ümmügülsüm Dikici
Sena Sultan Karaca
Efficacy of hydroxychloroquine and omalizumab in a patient with systemic lupus erythematosus, Hashimoto thyroiditis and refractory chronic spontaneous urticaria
Alergologia Polska
systemic lupus erythematosus
hashimoto’s thyroiditis
chronic spontaneous urticaria
omalizumab
hydro­xychloroquine
title Efficacy of hydroxychloroquine and omalizumab in a patient with systemic lupus erythematosus, Hashimoto thyroiditis and refractory chronic spontaneous urticaria
title_full Efficacy of hydroxychloroquine and omalizumab in a patient with systemic lupus erythematosus, Hashimoto thyroiditis and refractory chronic spontaneous urticaria
title_fullStr Efficacy of hydroxychloroquine and omalizumab in a patient with systemic lupus erythematosus, Hashimoto thyroiditis and refractory chronic spontaneous urticaria
title_full_unstemmed Efficacy of hydroxychloroquine and omalizumab in a patient with systemic lupus erythematosus, Hashimoto thyroiditis and refractory chronic spontaneous urticaria
title_short Efficacy of hydroxychloroquine and omalizumab in a patient with systemic lupus erythematosus, Hashimoto thyroiditis and refractory chronic spontaneous urticaria
title_sort efficacy of hydroxychloroquine and omalizumab in a patient with systemic lupus erythematosus hashimoto thyroiditis and refractory chronic spontaneous urticaria
topic systemic lupus erythematosus
hashimoto’s thyroiditis
chronic spontaneous urticaria
omalizumab
hydro­xychloroquine
url https://www.termedia.pl/Efficacy-of-hydroxychloroquine-and-omalizumab-in-a-patient-with-systemic-lupus-erythematosus-Hashimoto-thyroiditis-and-refractory-chronic-spontaneous-urticaria,123,55175,1,1.html
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AT ummugulsumdikici efficacyofhydroxychloroquineandomalizumabinapatientwithsystemiclupuserythematosushashimotothyroiditisandrefractorychronicspontaneousurticaria
AT senasultankaraca efficacyofhydroxychloroquineandomalizumabinapatientwithsystemiclupuserythematosushashimotothyroiditisandrefractorychronicspontaneousurticaria