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Peer-reviewedCC BY 4.0The American Journal of Tropical Medicine and Hygiene

Management of Bullous Pemphigoid and Norwegian Scabies with Dupilumab Plus Ivermectin

  1. 1Department of Dermatology, The Third People’s Hospital of Longgang, Clinical Institute of Shantou University Medical College (The Third People’s Hospital of Longgang District Shenzhen), Shenzhen, China
  2. 2Department of Dermatology, Shenzhen People’s Hospital (The First Affiliated Hospital, Southern University of Science and Technology, The Second Clinical Medical College, Jinan University), Shenzhen, China
  3. 3Department of Dermatology, Shenzhen Maternity and Child Healthcare Hospital, Southern Medical University, Shenzhen, China

Abstract

Bullous pemphigoid is a severe autoimmune blistering disease, and Norwegian scabies is a rare comorbidity. However, conventional treatment methods, such as systemic corticosteroids, carry a high risk in the treatment of elderly patients. Herein, this rare comorbidity is described in an elderly patient. After an initial induction treatment with a low-to-moderate dose of corticosteroid, this patient achieved complete remission with a combination therapy of dupilumab (a monoclonal antibody targeting the interleukin-4/13 signaling pathway) and ivermectin. Therefore, the successful treatment of this rare case provides a promising strategy for reducing reliance on corticosteroids in high-risk populations.

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BibTeX
@article{zhang2026management,
  title = {{Management of Bullous Pemphigoid and Norwegian Scabies with Dupilumab Plus Ivermectin}},
  author = {Yanli Zhang and Yuting Liu and Hengan Yi},
  journal = {The American Journal of Tropical Medicine and Hygiene},
  year = {2026},
  month = sep,
  doi = {10.4269/ajtmh.26-0186},
  url = {https://doi.org/10.4269/ajtmh.26-0186},
  note = {CC BY 4.0},
}
RIS
TY  - JOUR
TI  - Management of Bullous Pemphigoid and Norwegian Scabies with Dupilumab Plus Ivermectin
AU  - Yanli Zhang
AU  - Yuting Liu
AU  - Hengan Yi
PY  - 2026
DA  - 2026/09/22
JO  - The American Journal of Tropical Medicine and Hygiene
DO  - 10.4269/ajtmh.26-0186
UR  - https://doi.org/10.4269/ajtmh.26-0186
AB  - Bullous pemphigoid is a severe autoimmune blistering disease, and Norwegian scabies is a rare comorbidity. However, conventional treatment methods, such as systemic corticosteroids, carry a high risk in the treatment of elderly patients. Herein, this rare comorbidity is described in an elderly patient. After an initial induction treatment with a low-to-moderate dose of corticosteroid, this patient achieved complete remission with a combination therapy of dupilumab (a monoclonal antibody targeting the interleukin-4/13 signaling pathway) and ivermectin. Therefore, the successful treatment of this rare case provides a promising strategy for reducing reliance on corticosteroids in high-risk populations.
SN  - 0002-9637
SN  - 1476-1645
ER  -