免疫检查点抑制剂治疗的危及生命的内分泌免疫相关不良事件
Aleksandra Basek1, Grzegorz K Jakubiak2, Grzegorz Cieślar2
1Student Research Group, Department and Clinic of Internal Medicine, Angiology, and Physical Medicine, Faculty of Medical Sciences in Zabrze, Medical University of Silesia, Batorego 15 St., 41-902 Bytom, Poland.
Cancers
|December 23, 2023
概括
免疫检查点抑制剂可能会导致危及生命的内分泌副作用,包括上腺危机和甲状腺风暴. 早期识别和及时管理对于患者的生存至关重要.
科学领域:
- 在瘤学瘤学.
- 内分泌学 在内分泌学.
- 免疫学 免疫学 免疫学
背景情况:
- 癌症免疫疗法,特别是免疫检查点抑制剂 (ICI),是现代癌症治疗的基石.
- 虽然有效,但ICI可以诱导影响各种器官的免疫相关不良事件 (irAEs).
- 内分泌IRAE很常见,但可以表现为严重的,危及生命的疾病.
研究的目的:
- 审查有关ICI危及生命的内分泌副作用的当前文献.
- 为这些关键事件提供有关症状,诊断和管理策略的全面信息.
主要方法:
- 对ICI诱导的内分泌IRAE研究的系统性文献综述.
- 专注于严重的表现,如上腺危机,甲状腺风暴,myxedema危机,糖尿病酸症和低血症.
主要成果:
- 如果不及时处理,ICI诱导的内分泌IRAE可能是严重的和潜在的致命的.
- 关键的内分泌紧急情况包括上腺危机,甲状腺风暴,myxedema危机,糖尿病酸症和严重的低血症.
- 及时诊断和干预对于有利的结果至关重要.
结论:
- 对于临床医生来说,意识到与ICI相关的危及生命的内分泌irAEs至关重要.
- 及时诊断和适当的管理策略对于减轻严重后果和改善癌症免疫治疗中的患者存活率至关重要.
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