严重的肝损伤是由于因弗利克西马布治疗和阿达利木马布治疗造成的
Helgi Kristinn Björnsson1, Helgi Kristinn Sigmundsson2, Einar Stefan Björnsson2,3
1Department of Internal Medicine, Division of Gastroenterology and Hepatology, Sahlgrenska University Hospital, Gothenburg, Sweden.
Scandinavian journal of gastroenterology
|October 14, 2025
概括
因弗利西马布可以导致严重的药物诱导性肝损伤 (DILI),导致10多例肝移植. 同时服用免疫调节剂可能会降低这种风险.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 免疫学 免疫学 免疫学
- 药理学 药理学是指药理学的学科.
背景情况:
- 已有证据表明,因因弗利西马布而引起的药物诱导性肝损伤 (DILI),通常为轻度至中度.
- 严重的因弗利西马布诱导的肝损伤需要移植是罕见但严重的.
研究的目的:
- 为了描述因弗利克西马布引起的严重DILI.
- 确定因弗力西马布相关的DILI中严重结果的潜在预测因素.
主要方法:
- 文献综述因因弗力西马布而导致的严重DILI病例.
- 临床,生物化学,免疫学和组织学特征的描述.
主要成果:
- 因弗利西马布可以导致急性肝衰竭和消失的胆道综合征,需要进行肝移植.
- 报告了12例因因弗力西马布而导致的严重肝损伤与急性肝衰竭的病例.
- 同时服用免疫调节剂可能会降低Infliximab DILI的风险.
结论:
- 因弗利克西马布存在严重,危及生命的肝损伤的风险.
- 了解DILI特征和预测因素对于患者管理至关重要.
- 不同于infliximab,Adalimumab没有与需要移植的急性肝衰竭有关.
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