在患有小细胞肺癌的患者中,阿特佐利祖马布诱导的肌肉炎
Elif Sahin1, Devrim Cabuk1, Fatma Tuncer Kuru2
1Department of Medical Oncology, Kocaeli University Faculty of Medicine, Izmit, Turkey.
免疫检查点抑制剂如阿特佐利祖马布可以引起肌肉炎,一种严重的肌肉炎症. 及时诊断和类固醇治疗是解决这种罕见但可能致命的副作用的关键.
科学领域:
- 在瘤学瘤学.
- 免疫学 免疫学 免疫学
- 神经学 神经学
背景情况:
- 肌肉炎是一种罕见的,可能致命的与免疫检查点抑制剂相关的免疫相关不良事件.
- 关于免疫检查点抑制剂诱导肌肉炎的临床特征和管理的数据有限.
研究的目的:
- 在患有转移性小细胞肺癌的患者中呈现一种阿特佐利祖马布诱导的肌肉炎病例.
- 突出这一不良事件的及时诊断和管理的重要性.
主要方法:
- 一名患有转移性小细胞肺癌的患者接受了阿特佐利祖马布,埃托波西德和卡博普拉丁.
- 患者在维护性阿特佐利祖马布治疗期间出现肌肉炎的症状.
- 诊断是基于临床发现和肌酸酸酶的升高;治疗涉及甲基prednisolone和遗漏的阿特佐利祖马布.
主要成果:
- 患者表现为肌肉虚弱,,紧张和消化不良.
- 实验室检测结果包括中性细胞白细胞症和肌酸酸酶的升高,红细胞沉积率和转氨酶水平.
- 肌肉炎在甲基前尼索隆治疗后10天内消失.
结论:
- 阿特佐利祖马布诱导的肌炎是一种罕见的并发症,需要及时识别和干预.
- 早期诊断和用皮质类固醇治疗对于预防心肌炎或呼吸道等严重后果至关重要.
- 在肌肉炎解决后重新开始服用阿特佐利祖马布,只要经过仔细监测,就有可能.
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