肌痛和硬是特拉美丁尼治疗的副作用
Charles J Weeks1, Victoria Frame1, Rohan Vuppala1
1School of Medicine (CJW, RV, DT, ABS), Department of Pharmacy (VF), Department of Internal Medicine (MS), and Department of Pediatrics (CM) of the Medical College of Georgia at Augusta University, Augusta, Georgia.
用于儿科低度质瘤 (LGG) 的特拉美替尼布可以引起严重的副作用. 本案例报告详细介绍了一名患有肌痛和性的儿童,强调了这种MEK抑制剂治疗的罕见不良影响.
科学领域:
- 儿科瘤学 儿科瘤学
- 药理学 药理学是指药理学的学科.
- 神经瘤学神经瘤学
背景情况:
- 线素激活细胞外激酶 (MEK) 抑制剂,如特拉美替尼和塞卢美替尼,是治疗儿科低度质瘤 (LGG) 的新兴疗法.
- 特拉美提尼布是口服的,具有有限的骨髓抑制作用,但已知的副作用包括皮疹,腹和疲劳.
- 塞卢梅提尼布与皮肤刺激,腹和肌肉骨疼痛有关.
研究的目的:
- 报告一例儿童患者发生严重不良反应的病例,该患者接受过 LGG 治疗.
- 为了突出之前未经记录的特拉美提尼布在这个患者群体中的副作用.
主要方法:
- 一个病例报告,一个8个月大的男婴在化疗后出现了渐进的LGG.
- 由于其液体配方和有利的副作用概况,启动特拉美丁尼治疗.
- 在特拉美提尼布 (trametinib) 给药后对不良事件的监测和记录.
主要成果:
- 患者出现了严重的腹,腹痛,部疼痛,硬性和体力减弱.
- 这些症状导致了断药.
- 所有报告的症状都在戒药后一周内消失.
结论:
- 这一病例代表了特拉美丁尼布诱导的肌痛和硬度在LGG的儿科患者的第一个记录的案例.
- 临床医生应该意识到这些罕见但显著的不良反应在考虑治疗儿科LGG时.
- 在接受MEK抑制剂治疗的儿科患者中,对不良事件的仔细监测至关重要.
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