大血管血管炎与阿特佐利祖马相关
Prathyusha Chennupati1, Erika Pianin2, Neil Kramer3
1Division of Rheumatology, Department of Medicine, Overlook Medical Center, Summit, New Jersey, USA prathyusha.chennupati@atlantichealth.org Elliot.Rosenstein@atlantichealth.org.
BMJ case reports
|April 23, 2025
概括
免疫检查点抑制剂可能会导致类风湿性问题. 这项研究详细介绍了第一个仅与阿特佐利祖马布相关的大血管血管炎的病例,该病例在停止治疗后消失.
科学领域:
- 在瘤学瘤学.
- 类风湿病学 类风湿病学
- 免疫学 免疫学 免疫学
背景情况:
- 免疫检查点抑制剂 (ICI) 是癌症治疗中的关键药物.
- ICI可以引发与免疫相关的不良事件,包括诸如血管炎之类的类风湿病.
- 大血管血管炎 (LVV) 已在一些ICI报告.
研究的目的:
- 报告与阿特佐利祖马布单一治疗相关的第一个LVV病例.
- 突出阿特佐利祖马布诱导LVV的潜力.
主要方法:
- 一个患有LVV的患者的病例报告.
- 临床和放射评估.
- 用ICI中止和葡萄糖皮质类药物治疗.
主要成果:
- 患者在阿特佐利祖马布治疗期间发展了LVV.
- 这是第一个完全由阿特佐利祖马布引起的LVV病例.
- 治疗导致了完全的临床和放射学分辨率.
结论:
- 单独治疗阿特佐利祖马布可以引起大血管血管炎.
- 停止阿特佐利祖马布和葡萄糖皮质激素治疗是有效的治疗方法.
- 临床医生应考虑在接受阿特佐利祖马布治疗的患者中出现相关症状的LVV.
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