在被诊断为牛皮和类风湿性关节炎的患者中,secukinumab引起了与药物相关的下巴骨硬化
Lukas Hauer1, Omid Moztarzadeh1,2, Nasimeh Baghalipour1
1Department of Stomatology, University Hospital Pilsen, Faculty of Medicine in Pilsen, Charles University, Pilsen, 32300, Czech Republic.
Psoriasis (Auckland, N.Z.)
|September 30, 2024
概括
与药物相关的下巴骨硬化 (MRONJ) 通常涉及抗血管原药物. 这一案例凸显了MRONJ与重症牛皮的抗素17-A疗法之间的潜在联系.
科学领域:
- 口腔和牙面部外科手术
- 皮肤病学 皮肤病学
- 药理学 药理学是指药理学的学科.
背景情况:
- 与药物相关的骨 (MRONJ) 是一种已知与抗血管原和抗吸收药物相关的并发症.
- 这些药物通常用于治疗癌症和骨质疏松症等疾病.
- MRONJ的发病过程涉及骨愈合受损和血管变化.
研究的目的:
- 在接受抗干白素17-A (Secukinumab) 治疗的患者中报告一例MRONJ病例.
- 调查Secukinumab和MRONJ之间的潜在,以前未报告的关联.
- 提高临床医生对这种潜在的不良药物效应的认识.
主要方法:
- 案例报告的呈现方式.
- 审查患者的病史,药物使用和临床表现.
- 在文献中搜索类似的病例,将抗联素17-A疗法与下巴骨硬化联系起来.
主要成果:
- 一名患有严重牛皮的患者在接受Secukinumab治疗时发生了MRONJ.
- 该患者之前没有使用抗吸收或抗血管原药的病史.
- 这代表了与抗干白素17-A疗法相关的MRONJ的首例报告.
结论:
- 抗干白素17-A治疗,特别是Secukinumab,可能与MRONJ的发展有关.
- 临床医生应考虑这种潜在的副作用在患者呈现骨,即使没有传统的风险因素.
- 需要进一步的研究来阐明机制并确认这种关联.
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