Abstract

Dupilumab, a monoclonal antibody that binds and inhibits the interleukin-4 receptor alpha subunit, is FDA approved for use in atopic dermatitis, asthma, and chronic rhinosinusitis with nasal polyposis. Currently, it is being investigated for treatment of conditions associated with eosinophilic inflammation. We present a case series of three patients with allergic rhinoconjunctivitis and recurrent episodes of glue ear otitis who had promising therapeutic relief with use of dupilumab. Patients had a multi-year history of chronic glue ear otitis with numerous medical and surgical interventions without resolution, including near systemic steroid dependence.

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