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September 3, 2026Clinical Cosmetic and Investigational DermatologyOpen Access

Dupilumab for Drug-Induced Bullous Pemphigoid: A Case Series and Literature Review

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Authors

NSNawara SakpuwadolSRSuthinee RutninWIWimolsiri Iamsumang

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Overview

Case series and literature review reports rapid symptom resolution with dupilumab in drug-induced bullous pemphigoid, suggesting a safe steroid-sparing alternative for multimorbid patients.

Key Points

  • To evaluate the clinical efficacy and safety of dupilumab in patients with drug-induced bullous pemphigoid who failed or could not tolerate conventional therapies.
  • Assessed 4 patients with drug-induced bullous pemphigoid linked to dipeptidyl peptidase-4 inhibitors (n=3) or an immune checkpoint inhibitor (n=1).
  • Administered dupilumab following failure or intolerance of standard immunosuppressants and synthesized findings with existing literature.
  • All 4 patients achieved marked reduction in pruritus within 2 weeks of initiating dupilumab.
  • Complete clinical remission occurred in 3 patients within 1 to 5 months, and 1 patient achieved disease stabilization enabling resumption of pembrolizumab for cancer treatment.
  • No significant adverse events were documented across the treatment periods.

Cite This Study

Sakpuwadol et al. (2026) studied this question.

synapsesocial.com/papers/6a9934ea636c6408cfa7ca48https://doi.org/10.2147/ccid.s619965
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Treatment of Bullous Pemphigoid With Dupilumab: A Case Series of 30 Patients2024 · 3 citations
  2. 2A case series of immune checkpoint inhibitor-induced bullous pemphigoid successfully treated with dupilumab and evidence for the BP180 midportion epitope as a preferential autoantigenic target2026 · 2 citations
  3. 3Real-world evaluation of the effectiveness and safety of dupilumab in bullous pemphigoid: an ambispective multicentre case series2024 · 36 citations
  4. 4Dupilumab in patients with bullous pemphigoid and concomitant atopy2025 · 2 citations
  5. 5A Systematic Evaluation of Dupilumab for Bullous Pemphigoid Treatment2024 · 6 citations