与IgA脏病相关的免疫检查点抑制剂治疗:一个病例报告和文献综述
Melchior Chabannes1,2, Ziriab Lisri1, Stéphane Lang1
1University Hospital, Besançon, Department of Nephrology, Dialysis and Renal Transplantation, Besancon, France.
Frontiers in immunology
|May 29, 2024
概括
免疫检查点抑制剂 (ICI) 可以导致损伤,包括罕见的IgA病 (IgAN). 在开始ICI之前,早期对血液查至关重要,以检测潜在的并发症.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 在瘤学瘤学.
- 免疫学 免疫学 免疫学
背景情况:
- 免疫检查点抑制剂 (ICI) 已经彻底改变了癌症治疗,但可以导致免疫相关的不良事件,包括损伤.
- 急性管间炎 (ATIN) 是ICI相关的损伤的最常见形式,尽管球炎也会发生.
研究的目的:
- 报告与ICI相关的严重IgA脏病 (IgAN) 病例.
- 在ICI治疗的背景下审查关于Igan的文献.
- 为了突出ICI相关IgAN的潜在低诊断.
主要方法:
- 在ICI治疗后接受Igan的患者的病例报告.
- 对与ICI相关的IgAN病例进行了全面的文献搜索.
- 对诊断时间,严重程度,治疗和结果的分析.
主要成果:
- 与ICI相关的Igan被诊断为治疗开始后5个月的中位数.
- 抗体抗胰岛素的严重程度各不相同,治疗通常涉及皮质类固醇和ICI中止.
- 文献中的病例往往显示了治疗后对脏的良好结果,与呈现的严重病例不同.
结论:
- 免疫检查点抑制剂的IgA脏病是一种罕见但潜在的并发症.
- 在开始ICI之前,建议通过血液查进行早期检测.
- 虽然经常被诊断不足,但与ICI相关的Igan可能对治疗有好反应,尽管结果可能异质.
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