Trends in Immunotherapy

Case Report

Successful combined treatment with omalizumab and tocilizumab in a case of chronic spontaneous urticaria and rheumatoid arthritis: A case report and literature review

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Takeuchi, N., Yamanishi, A., Kumagai, Y., & Yokoyama, T. (2022). Successful combined treatment with omalizumab and tocilizumab in a case of chronic spontaneous urticaria and rheumatoid arthritis: A case report and literature review. Trends in Immunotherapy, 6(2). https://doi.org/10.24294/ti.v6.i2.1443

Authors

  • Nao Takeuchi Department of Dermatology, Shizuoka City Shimizu Hospital
  • Ayumi Yamanishi Department of Dermatology, Shizuoka City Shimizu Hospital, Shizuoka 424-8636, Japan
  • Yoshiko Kumagai Department of Dermatology, Shizuoka City Shimizu Hospital, Shizuoka 424-8636, Japan
  • Tomoaki Yokoyama
    Department of Dermatology, Shizuoka City Shimizu Hospital, Shizuoka 424-8636, Japan

Omalizumab is a recombinant humanized monoclonal anti-IgE antibody used to treat uncontrolled chronic spontaneous urticaria (CSU). Sometimes patients with CSU also have other autoimmune conditions. Recent studies have demonstrated the safety and efficacy of a combination treatment with omalizumab and other biologics. Here, we report the first successful treatment with omalizumab for CSU and tocilizumab for rheumatoid arthritis. Since omalizumab is unlikely to cause severe immunosuppression, it may be a treatment option for CSU, even in patients treated with other biologics.

Keywords:

Chronic Spontaneous Urticaria Omalizumab Rheumatoid Arthritis Tocilizumab Anti-IL-6 Receptor Antibody

References

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  3. Ghazanfar MN, Thomsen SF. Combined treatment with omalizumab and etanercept in a patient with chronic spontaneous urticaria and rheumatoid arthritis. Journal of Dermatological Treatment 2019; 30(4): 387–388. doi: 10.1080/09546634.2018.1515465
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