CASE REPORT article

Front. Immunol.

Sec. Autoimmune and Autoinflammatory Disorders : Autoimmune Disorders

Volume 16 - 2025 | doi: 10.3389/fimmu.2025.1563553

This article is part of the Research TopicAdvances in skin immunologyView all 8 articles

Spesolimab in Generalized Pustular Psoriasis Complicated by Acrodermatitis Continua of Hallopeau: A Case Report and Mechanistic Insights

Provisionally accepted
Xin-yi  HouXin-yi Hou1Hai-Lu  XiaoHai-Lu Xiao1Wang  WangWang Wang2Jin  ZhangJin Zhang2Bo  RenBo Ren2Chu-chu  NiuChu-chu Niu2Fei-Fei  LiuFei-Fei Liu3Bin  LuBin Lu1*
  • 1Dermatology, Affiliated Hospital of Jining Medical University, Jining, China
  • 2Jining Medical University, Jining, Shandong, China
  • 3Pathology, Affiliated Hospital of Jining Medical University, Jining, China

The final, formatted version of the article will be published soon.

1. The patient who suffered from the Generalized pustular psoriasis(GPP) coexisting with Acrodermatitis continua of Hallopeau(ACH) exhibited no significant clinical improvement following conventional therapies, however, the effective manifestation was observed from the patient after the injection of Spesolimab for the first time, signs and symptoms were quickly brought under control.2. Spesolimab, a directly blocking the receptor with a therapeutic antibody, is the first biologic agent via the IL-36 pathway,which associats with the pathogenesis of GPP. So that Spesolimab delivers more precise treament.3. The patient remained free of adverse reactions during the post-treatment observation period until March 10, 2025 4. There are few reports about experience of Spesolimab used in ACH coexisting with GPP, our report provides a case reference for such patiens which has practical significance.

Keywords: spesolimab, generalized pustular psoriasis, Acrodermatitis continua of Hallopeau, IL-36 pathway, IL-1

Received: 20 Jan 2025; Accepted: 21 Apr 2025.

Copyright: © 2025 Hou, Xiao, Wang, Zhang, Ren, Niu, Liu and Lu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Bin Lu, Dermatology, Affiliated Hospital of Jining Medical University, Jining, China

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