免疫检查点抑制剂诱导的肌肉炎
Athira Jayan1, Andrew L Mammen2, Maria E Suarez-Almazor3
1Department of Internal Medicine, The University of Texas MD Anderson Cancer Center, Houston, 1515 Holcombe Boulevard, Houston, TX 77030, USA.
Rheumatic diseases clinics of North America
|April 26, 2024
概括
免疫检查点抑制剂 (ICI) 肌肉炎是一种罕见但严重的副作用,在组合治疗中更为常见. 早期诊断和用皮质类固醇治疗对于管理这种情况至关重要.
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:
- 免疫检查点抑制剂 (ICI) 是一种重要的癌症疗法.
- 肌肉炎是一种罕见但可能致命的与ICI相关的免疫相关的不良事件.
- 与单一治疗相比,ICI组合治疗增加了肌肉炎的发生率.
研究的目的:
- 审查免疫检查点抑制剂诱导的肌肉炎的临床表现,诊断和管理.
- 为了突出结合ICI治疗与肌肉炎发病率增加之间的关联.
- 讨论肌炎与心肌炎和严重肌炎的潜在并发情况.
主要方法:
- 免疫检查点抑制剂诱导肌肉炎的文献综述.
- 分析临床表现,诊断标准和治疗策略.
- 预后因素和相关条件的评估.
主要成果:
- 肌炎呈现出不同的临床症状,有时与肌心炎或骨髓灰质炎并发,使预后恶化.
- 诊断依赖于临床症状,肌肉酶升高和肌电图;可能需要进行肌肉活检.
- 高剂量的皮质类固醇是主要治疗方法,在严重病例中使用其他免疫抑制疗法.
结论:
- 免疫检查点抑制剂诱导的肌肉炎需要及时识别和管理.
- 联合ICI治疗需要对肌肉炎的发展保持高度警.
- 有效的治疗策略包括皮质类固醇和潜在的其他免疫抑制剂,用于严重的表现.
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