一个患有牛皮关节炎的病人用阿达利木马布治疗的沙丘病样反应
João Oliveira1, Martina Arandjelovic2, Inês Pintor1
1Internal Medicine, Hospital Infante D. Pedro, Aveiro, PRT.
Cureus
|January 30, 2025
概括
药物诱导的类样反应 (DISR) 是一种与药物相关的粒状状况. 瘤亡因子 (TNF) 抗剂,如阿达利木马布,可以触发DISR,该DISR在药物停止后会消失.
科学领域:
- 类风湿病学 类风湿病学
- 皮肤病学 皮肤病学
- 免疫学 免疫学 免疫学
背景情况:
- 药物诱导的类型反应 (DISR) 呈现为一种全身性颗粒性疾病.
- 从临床和组织学上来说,DISR与肉类瘤症是不可区分的.
- 药物开始和DISR发作之间存在时间联系,药物戒断后情况有所改善.
研究的目的:
- 在接受阿达利穆马布治疗的患者中报告DISR病例.
- 要突出TNF抗剂与DISR发展之间的关联.
主要方法:
- 一个33岁的患有牛皮关节炎的女性患者的病例报告.
- 对临床表现,成像和组织学发现的审查.
- 分析与阿达利穆马布治疗的时间关系.
主要成果:
- 患者出现了与DISR一致的症状.
- 临床,成像和组织学数据支持DISR的诊断.
- 这种反应与阿达利穆马布治疗有关.
结论:
- 作为TNF抗剂的阿达利穆马布可以诱导类似于沙尔科毒症的反应.
- 应考虑在使用TNF抑制剂的患者中使用DISR,这些患者呈现颗粒状细胞疾病.
- 停止使用违规药物可能会导致DISR的解决.
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