免疫检查点抑制剂相关的病:回顾性分析和文献综述
Malvika Gupta1, Christopher Graham2, Supriya Gupta2
1Kasturba Medical College, Manipal Academy of Higher Education, Mangalore 575001, India.
Diseases (Basel, Switzerland)
|December 27, 2024
概括
免疫检查点抑制剂 (ICI) 治疗可以导致罕见的免疫媒介性乳病,与肠球炎不同. 无质饮食可以快速缓解症状,避免不必要的免疫抑制.
科学领域:
- 在瘤学瘤学.
- 免疫学 免疫学 免疫学
- 胃肠病学 胃肠病学
背景情况:
- 免疫检查点抑制剂 (ICI) 通过增强抗瘤免疫力来治疗恶性瘤.
- ICI治疗可能会导致免疫媒介的不良影响,包括罕见的胃肠道毒性.
- 免疫媒介性腹腔炎是一种未被认可的ICI毒性,模仿ICI诱导的肠球炎.
研究的目的:
- 通过ICI疗法诱导的免疫介导的乳性疾病的特征.
- 为了区分ICI诱导的腹腔炎和ICI诱导的肠球炎.
- 为了确定ICI诱导的腹病的最佳治疗策略.
主要方法:
- 从文献中回顾分析了8例ICI诱导的腹腔炎病例和24例ICI诱导的肠球炎病例.
- 对患者人口统计,临床病史,干预措施和结果进行比较分析.
- 评估临床表现,组织学发现和治疗反应.
主要成果:
- 与先前存在的自身免疫和HLA-DQ2阳性相关的ICI诱导的乳病.
- 显著的临床和组织学特征,包括十二指甲状腺小麻木,体重减轻和营养不足.
- 无质饮食导致了快速改善;免疫抑制疗法是无效的.
结论:
- ICI诱导的乳病是一种罕见的胃肠道不良反应,经常被误诊.
- 早期诊断和无质饮食对于症状的缓解至关重要.
- 及时的无质饮食可以避免不必要的免疫抑制和停止免疫治疗.
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