在折射器中使用口服双酸盐在DENOSUMAB停止后严重的高血症
M E Bilici1, Z Şıklar2, E Ünal3
1Zonguldak Bulent Ecevit University School of Medicine, Department of Pediatric Endocrinology.
概括
德诺苏马布在停止治疗后可能导致严重的反弹性高血症,特别是在儿童中. 双酸盐是有效的管理这些反复的,可能危及生命的攻击.
科学领域:
- 在瘤学瘤学.
- 药理学 药理学是指药理学的学科.
- 儿科 儿科 儿科
背景情况:
- 登诺苏马布是一种向RANKL的单克隆抗体,用于巨细胞骨瘤.
- 治疗可能会导致低血症,很少出现恶性高血症.
- 反弹性高血症是一种不可预测的并发症,潜在的严重后果.
研究的目的:
- 报告儿科患者在denosumab治疗后出现严重反弹性高血症的病例.
- 讨论德诺苏马布诱导的高血症的管理和长期影响.
主要方法:
- 一个9岁女孩的病例报告,她患有巨细胞骨瘤,接受了denosumab治疗.
- 在治疗完成后评估复发性高血症.
- 用静脉注射和口服双酸盐进行管理.
主要成果:
- 在停止服用德诺苏马布四个月后,发生严重的高血症.
- 最初用IV双酸盐治疗提供了暂时的正常化.
- 复发性高血症通过重复的静脉注射和每周一次的口服双酸盐来控制,达到稳定的水平.
- 儿童可能面临更高的反弹高血症风险.
结论:
- 复发性高血症是停止使用登苏马布的严重并发症,需要对治疗后进行警监测.
- 双酸盐,无论是静脉注射还是口服,都能有效地管理复发和严重病例.
- 长期管理策略至关重要,特别是在儿科患者群体中.
相关概念视频
Bone Remodeling
40.2K
Bone remodeling is a continuous and balanced process of bone resorption by osteoclasts and bone formation by osteoblasts. In adults, it helps maintain bone mass and calcium homeostasis. While mechanical stress can stimulate turnover as part of the normal maintenance and reparative process, several hormones also regulate bone remodeling.
40.2K
Osteoclasts in Bone Remodeling
3.9K
Osteoclasts are cells responsible for bone resorption and remodeling. They originate from hematopoietic progenitor cells present in the bone marrow. Numerous progenitor cells fuse to form multinucleated cells, each with 10-20 nuclei. A single osteoclast has a diameter of 150 to 200 µM. These cells have ruffled borders that break down the underlying bone tissue and release minerals such as calcium into the blood in bone resorption. Osteoclasts cling to bones with their ruffled edges during...
3.9K
Bone Disorders
5.1K
Aging and its effect on bone remodeling is the most common cause of bone disorders. In young and healthy people, bone deposition and resorption happen at an equal rate to maintain optimal bone health.
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
5.1K
Peptic Ulcer Disease IV: Management
430
Medical treatment strategies for peptic ulcers encompass various methods. The primary goal of treatment is to diminish gastric acidity and strengthen mucosal defense mechanisms.
The therapeutic approach involves ensuring adequate rest, implementing drug therapy, promoting smoking cessation, making dietary modifications, and emphasizing long-term follow-up care.
Pharmacological management
The prevailing therapy for peptic ulcers involves a combination of managing the patient's current...
The therapeutic approach involves ensuring adequate rest, implementing drug therapy, promoting smoking cessation, making dietary modifications, and emphasizing long-term follow-up care.
Pharmacological management
The prevailing therapy for peptic ulcers involves a combination of managing the patient's current...
430
Skeleton and Calcium Homeostasis
5.8K
Calcium is not only the most abundant mineral in bone but also the most abundant mineral in the human body. Calcium ions are needed for bone mineralization, tooth health, heart rate regulation and strength of contraction, blood coagulation, the contraction of smooth and skeletal muscle cells, and the regulation of nerve impulse conduction. The average calcium level in the blood is about 10 mg/dL. When the body cannot maintain this level, a person will experience hypo or hypercalcemia.
5.8K
Hormones and Bone Tissue
3.7K
The endocrine system produces and secretes hormones, which interact with the skeletal system. These hormones control bone growth, maintain bone once it is formed, and remodel it.
Hormones That Influence Osteoblasts and/or Maintain the Matrix
Several hormones are necessary for controlling bone growth and maintaining the bone matrix. The pituitary gland secretes growth hormone (GH), which, as its name implies, controls bone growth. This happens in several ways: first, it triggers chondrocyte...
Hormones That Influence Osteoblasts and/or Maintain the Matrix
Several hormones are necessary for controlling bone growth and maintaining the bone matrix. The pituitary gland secretes growth hormone (GH), which, as its name implies, controls bone growth. This happens in several ways: first, it triggers chondrocyte...
3.7K


