检查点抑制剂相关的硬化皮质和硬化皮质模仿者
Michael Macklin1, Sudeep Yadav1, Reem Jan1
1Section of Rheumatology, Department of Medicine, University of Chicago Medical Center, Chicago, IL 60637, USA.
Pharmaceuticals (Basel, Switzerland)
|June 1, 2023
概括
免疫检查点抑制剂 (ICI) 可以导致全身性硬化症 (SSc) 和模仿性硬化症. ICI-SSc与初级SSc不同,并且在ICI治疗后,先前存在的SSc可能会爆发.
科学领域:
- 在瘤学瘤学.
- 类风湿病学 类风湿病学
- 免疫学 免疫学 免疫学
背景情况:
- 免疫检查点抑制剂 (ICI) 是标准的癌症治疗.
- ICI的使用与自身免疫性并发症有关.
- 关于ICI相关性硬化症的数据是有限的.
研究的目的:
- 审查ICI相关的全身性硬化症 (ICI-SSc) 的文献.
- 分析ICI-SSc和初级SSc之间的差异.
- 为了调查ICI相关的硬化皮肤模仿.
主要方法:
- 系统的文献审查.
- 对ICI-SSc和模拟的案例报告和研究的分析.
- 对ICI-SSc特征与初级SSc进行比较.
主要成果:
- 在ICI-SSc病例中,血管特征较少,血清阳性低于初级SSc.
- 患有先前存在的SSc的患者可能会经历ICI后的爆发.
- 确定了ICI-eosinophilic fasciitis的病例;没有发现ICI-scleromyxedema和ICI-scleroedema.
结论:
- ICI-SSc与初级SSc呈现的不同.
- 对ICI-SSc的管理需要进一步调查.
- 合作,多机构研究对于理解和管理ICI-SSc至关重要.
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