Dupilumab And Its Growing Pains

Home
About Us
- - About Us
  - About AMSSM
  - FAMSSM Designation
  - Awards
  - Founders
  - Past Presidents
  - Board of Directors
  - Committees
  - Contact Us
  - Bylaws/Policy & Committee Handbooks
- - FAMSSM Applications
  - Application submission is now open for the 2025 Class of AMSSM Fellows. New Fellows will be announced to the AMSSM membership after the first of the year and honored at the 2025 Annual Meeting.
    
    Applications for the FAMSSM Designation will be available on an annual basis. Please contact Ellen Glasgow with any questions regarding the FAMSSM application.
- - We Understand You

Communications
- - Online AMSSM Community for Members
  - AMSSM Collaborate online community provides a forum for year-long connection, giving members the chance to have conversations, share resources and make connections with your peers.
- - AMSSM Informational Brochures
  - Find informational brochures about sports medicine physicians geared toward coaches, parents and other healthcare professionals.
Education
- - AMSSM Sports Medcasts
  - Find all current and past AMSSM Sports Medcast episodes in one convenient location.
- - AMSSM Fellow Online Lecture Series
  - The AMSSM National Fellow Online Lecture Series features talks from national experts on fundamental sports medicine topics pertinent to fellowship training and sports medicine board certification. Go to the collaborate.amssm.org site and view the available lectures in the Upcoming Events area.
Research
Advocacy
- - Legislative and Policy Issues
  - AMSSM is the go-to organization for legislative and policy issues related to sports medicine and athlete health and safety.
- - Legislation by State
  - AMSSM offers a variety of advocacy resources, including a map that tracks legislation important to sports medicine physicians.
Sports US
- - Sports Ultrasound Online Didactics
  - These 35 educational modules cover all of the didactic instructional session topics recommended for sports medicine fellows by the AMSSM.
- - Sports Ultrasound Committee
  - Find all the resources, materials and guidelines from the AMSSM Sports Ultrasound Committee
Patients
- - Need a Sports Medicine Physician?
  - FindADoc
- - SportsMedToday.com
  - Your comprehensive sports medicine resource for athletes, coaches and parents.
Additional Information
- - Additional Information
  - Sports Med Today
  - Journals
  - Weekly Digests
  - Store
  - Careers
  - Industry
Foundation

Dupilumab And Its Growing Pains - Page #1

Author: Raymond Zhou, MD Senior Editor: Justin Mark Young, MD Editor: Irvin Sulapas, MD Patient Presentation: A 32-year-old male presented to the Sports Medicine clinic with 6 months of progressively worsening, intermittent left shoulder pain radiating into the axilla. History: He participates in cardio and resistance training for fitness, and finds the pain is reproduced during repetitive activity with the shoulder in overhead positions. The pain is unrelated to increased resistance or weight bearing. Sleeping on his stomach exacerbates the symptoms, waking him up every 2 nights. His symptoms resolve when shaking out the left arm. His past medical history includes asthma and eczema, currently in remission and treated successfully with dupilumab for over 4 years. Dupilumab (better known as Dupixent) is a monoclonal antibody that binds to and antagonizes interleukin-4 receptors to block inflammatory signals. He also has a history of joint hypermobility without a formal diagnosis of connective tissue disease. His family history is notable for Hashimoto's thyroiditis in his father, but no other neurological, autoimmune, or rheumatologic diseases. Physical Exam: His physical exam was most notable for a positive Roos maneuver reproducing his pain. He had a palpable radial pulse and was maintained throughout the exam without color change. The patient demonstrated hypermobility with a Beighton score of 9. Hyperextension of the knees, elbows, thumb-to-forearm ranging, and pinky finger lifting to 90 degrees all indicated the patient's joint laxity. He had tenderness to palpation of the left upper trapezius, levator scapulae, medial scapular border, and AC joint. The rest of the exam was unremarkable. The patient was neurovascularly intact throughout the affected extremity and had no skin changes. Click here to continue. Challenge yourself by writing down a broad differential diagnosis before moving to the next slide.		Back
NOTE: For more information, please contact the AMSSM, 4000 W. 114th Street, Suite 100, Leawood, KS 66211 (913) 327-1415.

Back	Top

UPCOMING EVENTS

FIND A SPORTS DOC