Evidence map›Paper›PMID 42219153›Full record

ReviewPediatric dermatology

Safety of Dupilumab and Risk of Cutaneous T-Cell Lymphoma in Pediatric Patients With Atopic Dermatitis: A Data-Driven Guide to Counseling Patients and Families.

Maria Gnarra Buethe, Tyler Sy, Lawrence F Eichenfield

Abstract readReview
In one paragraph

Review in Pediatric dermatology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Maria Gnarra BuetheDivision of Dermatology, Rady Children's Hospital-Orange County, Orange, California, USA.ORCID https://orcid.org/0000-0002-3872-1415
Tyler SyDivision of Dermatology, Rady Children's Hospital-Orange County, Orange, California, USA.
Lawrence F EichenfieldDivision of Pediatric and Adolescent Dermatology, Rady Children's Hospital-San Diego, San Diego, California, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Recent publications reporting increased cutaneous T-cell lymphoma (CTCL) risk with dupilumab in atopic dermatitis (AD) have sparked debate, amplified by media coverage linking dupilumab to lymphoma. These concerns have reached pediatric populations, where we observe increasing parental hesitancy about initiating dupilumab for their children. This hesitancy is particularly acute given that dupilumab was only approved for infants aged 6 months and older in 2022-the first cohort now approaching 3-4 years of exposure. Parents understandably question the long-term effects of decades of IL-4/IL-13 blockade initiated during critical immune development periods. The diagnostic overlap between AD and mycosis fungoides (the most common CTCL) complicates assessment. We examine evidence regarding dupilumab safety and CTCL risk specifically in pediatric patients, incorporating recently presented long-term open-label extension data, and provide recommendations for monitoring, distinguishing AD from CTCL, and counseling families navigating this complex topic.

Indexed as

Antibodies, Monoclonal, HumanizedDermatitis, AtopicLymphoma, T-Cell, CutaneousSkin NeoplasmsChildChild, PreschoolCounselingHumansInfantAntibodies, Monoclonal, Humanizeddupilumabatopic dermatitisbiologic therapycutaneous T‐cell lymphoma (CTCL)dupilumabmycosis fungoidespediatricpharmacovigilanceSézary syndrome

Identifiers

PMID42219153
PMCPMC13423122

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.