线性粘膜缺陷在Nintedanib相关的大肠炎:一个罕见的病例与原性大肠炎类似的特征
Keisuke Iwata1, Kenji Yamazaki1, Ryoji Kushima2
1Department of Gastroenterology, Gifu Prefectural General Medical Center, Japan.
Internal medicine (Tokyo, Japan)
|July 2, 2025
概括
宁达达尼布 (Nintedanib) 是一种治疗异常性肺纤维化症的药物,可以引起药物诱导的大肠炎,具有类似于质大肠炎的特征,包括线性粘膜缺陷. 在停止服用nintedanib.之后,症状消失了.
科学领域:
- 胃肠病学 胃肠病学
- 肺部病理学 肺部病理学
- 药理学 药理学是指药理学的学科.
背景情况:
- 异形性肺纤维化 (IPF) 是一种渐进的肺部疾病.
- 丁丁达尼布是一种用于治疗IPF的氨酸激酶抑制剂.
- 胃肠道的副作用,如腹,是常见的 nintedanib.
研究的目的:
- 报告一种药物诱导性大肠炎的病例,与忍者达尼布治疗相关的原性大肠炎类似的特征.
- 为了突出线性粘膜缺陷的新发现,在nintedanib相关的大肠炎.
主要方法:
- 一名70岁的男性IPF患者接受长期宁泰达尼布治疗,出现严重的腹.
- 结肠镜检查显示了特征性粘膜异常.
- 活检的组织病理学检查证实了类似于质结肠炎的变化.
- 尼丁达尼布被撤销,并监测症状的缓解.
主要成果:
- 患者表现出明显的腹,粗的粘膜外观,侵蚀和结肠中的线性粘膜缺陷.
- 活检显示了与质结肠炎一致的特征.
- 在停止使用宁泰达尼布后,腹症状完全消失.
- 这代表了 nintedanib 诱导的大肠炎中线性粘膜缺陷的首例报告.
结论:
- 丁丁达尼布可以诱导药物诱导的大肠炎,呈现出类似原性大肠炎的特征和线性粘膜缺陷.
- 这一发现扩大了已知的宁泰达尼布相关的胃肠道不良事件的范围.
- 迅速识别和撤销宁泰达尼布对于管理这种情况至关重要.
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