在服用Dupilumab后发生性结肠炎,这是一种抗素-4受体亚单元α单克隆抗体:一个病例报告
Hikaru Mamizu1, Maiko Mamizu1, Daisuke Ishikawa1
1Department of Internal Medicine, Niigata Prefectural Central Hospital, Japan.
杜皮卢马布是一种喘药物,可能导致性结肠炎. 停止服用该药物改善了患者的症状,这表明存在潜在的联系. 医疗保健提供者应在杜皮卢马布治疗期间监测胃肠道问题.
科学领域:
- 胃肠病学 胃肠病学
- 肺部病理学 肺部病理学
- 免疫学 免疫学 免疫学
背景情况:
- 杜皮卢马布是一种介素-4受体亚单元α (IL-4Rɑ) 抑制剂,用于诸如支气管喘等疾病.
- 在生物疗法中很少报告胃肠道不良事件.
研究的目的:
- 在为支气管喘治疗的患者中报告可能由dupilumab诱导的性结肠炎病例.
- 强调在杜皮卢马布治疗期间监测胃肠道副作用的重要性.
主要方法:
- 一份病例报告详细介绍了一个38岁的女性,患有支气管喘,接受了dupilumab治疗.
- 记录了临床表现,下胃肠内镜检查结果,治疗过程和结果.
主要成果:
- 患者在开始服用dupilumab后一个月出现了持续的血.
- 下部胃肠道内镜显示出性结肠炎.
- 在停止使用dupilumab后,症状显著改善,导致诊断为药物诱导的性结肠炎.
结论:
- 杜皮卢马布可能会诱导性结肠炎.
- 停止使用dupilumab可能会导致症状改善.
- 在接受dupilumab的患者中,密切监测肠炎和结肠炎至关重要.
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