氨酸诱导的肌痛性关节炎和管理
Dennis Marjoncu1, Kerri Jones1
1Department of Pharmacy, Methodist University Hospital, Memphis, TN, USA.
概括
氨酸可以引起罕见的神经毒性作用,如缺动性关节炎. 一种经过修改的FOLFIRINOX治疗方案,包括长时间输液和预防性氨酸,在胰腺癌患者中成功地控制了这些副作用.
科学领域:
- 在瘤学瘤学.
- 神经药理学神经药理学
背景情况:
- 氨酸是一种用于治疗腹部癌症的化疗剂.
- 神经毒性,包括肌痛性关节障碍,是罕见的,但可能的副作用.
- 修改后的FOLFIRINOX (甲,氨基酸,氧化) 是一个常见的治疗方案.
研究的目的:
- 在胰腺癌患者中报告一种因 irinotekan 引起的肌痛性关节炎病例.
- 描述这种罕见的神经毒性的成功管理策略.
主要方法:
- 一名胰腺癌患者接受了修改后的FOLFIRINOX.
- 发病了脱发性关节障碍,并使用纳兰乔标准 (得分6) 评估了因果关系.
- 管理涉及类固醇,洛拉泽帕姆,后来预防性氨酸与延长输液时间.
主要成果:
- 患者可能经历了因虹素素诱导的肌痛性关节障碍.
- 修改后的治疗策略 (阿特罗平,更长的输液) 有效地缓解了症状.
- 患者完成了12个疗程,实现了部分反应.
结论:
- 延长义诺他干输液时间和使用预防性氨酸可以预防罕见的神经毒性.
- 这种策略可能使患者能够完成化疗并实现治疗反应.
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