在免疫检查点抑制剂治疗后,患有埃索诺菲尔反应性呼吸道疾病
Parker Cordial1, Ian D Bentley2,3, Jeffrey C Horowitz2,3
1Internal Medicine The Ohio State University Wexner Medical Center Columbus Ohio USA.
免疫检查点抑制剂可能会导致与免疫相关的不良事件. 这项研究描述了ICI治疗后出现反应性呼吸道疾病的患者,这些患者对标准治疗反应良好.
科学领域:
- 在瘤学瘤学.
- 免疫学 免疫学 免疫学
- 肺部病理学 肺部病理学
背景情况:
- 免疫检查点抑制剂 (ICI) 是一种至关重要的一线癌症治疗.
- 免疫相关的不良事件 (irAEs) 是ICI的常见副作用.
- 与ICI相关的肺炎是已知的肺部IRAE,但其他肺毒性不太了解.
研究的目的:
- 描述一系列在ICI治疗后发展出反应性气道疾病的患者.
- 调查这种罕见的ICI相关肺毒性的临床表现和治疗结果.
- 突出持续ICI治疗与有效管理的潜力.
主要方法:
- 用ICI治疗的患者的回顾性病例系列.
- 没有先前存在阻塞性肺病的患者出现了新发作的反应性呼吸道疾病.
- 放射性评价排除了肺炎;注意到了外周性异osinophilia.
主要成果:
- 在ICI后出现反应性气道疾病症状的患者.
- 用吸入类固醇,支气管扩展剂和全身类固醇治疗导致症状改善.
- 一名患者对dupilumab有反应,一些患者继续进行ICI治疗.
结论:
- 反应性气道疾病是ICI潜在的,未被认可的肺毒性.
- 及时诊断和治疗反应性呼吸道疾病可以有效地管理症状.
- 管理策略可能允许在癌症患者中继续进行拯救生命的ICI治疗.
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