由sintilimab引发的亚急性皮肤性红斑狼:一个病例报告
Chenxi Zhang1, Xiaoying Zhang1, Jiali Liang1
1Department of Dermatology, Southern Hospital, Southern Medical University, Guangzhou, China.
Frontiers in immunology
|May 9, 2025
概括
免疫检查点抑制剂可以引起皮肤反应. 本案例详细介绍了一名胃癌患者的PD-1抑制剂辛蒂利马布引发的亚急性皮肤性红斑狼.
科学领域:
- 在瘤学瘤学.
- 免疫学 免疫学 免疫学
- 皮肤病学 皮肤病学
背景情况:
- 免疫检查点抑制剂 (ICI) 是一种重要的癌症疗法.
- 免疫相关的不良事件 (irAEs),包括皮肤疾病 (cirAEs),是常见的副作用.
- 从与癌症相关的症状区分IREs至关重要.
研究的目的:
- 报告一种罕见的药物诱导性红斑狼病例.
- 要突出与sintilimab (PD-1抑制剂) 相关的特定免疫相关的不良事件.
- 强调区分ICI诱导的疾病与瘤综合征的临床意义.
主要方法:
- 一个30岁的女性患有胃癌的病例报告.
- 患者接受了新辅助化学免疫疗法,包括sintilimab.
- 记录了临床表现,实验室发现 (ANA,anti-SSA/Ro) 和治疗反应.
主要成果:
- 患者患有亚急性皮质红斑狼 (SCLE),具有特征性的皮肤病变.
- 检测到阳性抗核抗体 (ANA) 和强烈阳性抗SSA/Ro抗体.
- 症状在戒除辛蒂利马布和接受皮质类固醇,化和IVIG治疗后消失.
结论:
- 辛提利马布可以诱导亚急性皮肤性红斑狼,一种罕见的irAE.
- 这个病例是首次报告的药物诱导的狼由sintilimab.
- 准确的诊断对于适当管理ICI相关的皮肤毒性至关重要.
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