与pembrolizumab相关的肌炎呈现肌形症状:两个病例报告
Şule Deveci1, Mustafa Uzun1, Pinar Özçelik2
1Department of Neurology, University of Health Sciences, Basaksehir Cam and Sakura City Hospital.
Anti-cancer drugs
|January 3, 2025
概括
免疫检查点抑制剂 (ICI) 可以导致罕见但严重的神经肌肉问题,如肌肉炎. 这些与免疫相关的不良事件 (irAEs) 的早期识别和治疗对癌症患者至关重要.
科学领域:
- 在瘤学瘤学.
- 神经学 神经学
- 免疫学 免疫学 免疫学
背景情况:
- 免疫检查点抑制剂 (ICI),如 pembrolizumab,可以增强抗癌免疫力.
- ICI可以引发与免疫相关的不良事件 (irAEs),包括神经肌肉并发症.
研究的目的:
- 描述两例pembrolizumab诱导的肌炎与肌形特征的情况.
- 审查ICI相关的肌炎与肌形症状的文献.
主要方法:
- 两名男性肺癌患者的病例报告,他们接受了 pembrolizumab 的治疗.
- 临床,生化,成像和电生理学评估.
- 关于与pembrolizumab相关的肌炎与肌形症状的文献综述.
主要成果:
- 两名患者都出现了带有肌形特征的肌炎;其中一人还患有心肌炎.
- 治疗包括IVIg,pyridostigmine和皮质类固醇,但成功程度有限.
- 文献审查发现了52个类似的病例,突出了高发病率.
结论:
- 布罗利祖马布相关的肌炎具有肌状特征,特别是肌心炎,死亡率高.
- 保持警的监测和迅速,积极管理irAEs对于改善患者的治疗结果至关重要.
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