与宁泰达尼布治疗相关的异性病
Kiana A Banafshay1, Rahul Mutneja2
1Department of Internal Medicine, Kaiser Permanente Santa Clara, 700 Lawrence Expy, Santa Clara, CA, 95051, USA.
尼丁达尼布 (Ofev),用于肺纤维化,可能会导致免疫介导的氨酸和肝脏问题. 终止Nintedanib导致这些副作用在一个病例中迅速消失.
科学领域:
- 肺部病理学 肺部病理学
- 药理学 药理学是指药理学的学科.
- 免疫学 免疫学 免疫学
背景情况:
- 宁达达尼布 (Ofev) 是一种针对异常性肺纤维化和其他纤维化间歇性肺部疾病的抗纤维化药物.
- 已知的副作用包括胃肠道问题和肝毒性.
- 在此之前,免疫介导的氨酸并未与Nintedanib有关.
研究的目的:
- 报告一种与Nintedanib相关的新病例 - - 氨酸和透氨酸炎.
- 为了突出潜在的延迟过敏反应对Nintedanib.
主要方法:
- 一个69岁的肺纤维化男性患者的病例报告.
- 详细的临床观察和实验室评价,不包括其他引起色素和透氨炎的原因.
- 在停止使用Nintedanib后对实验室参数的监测.
主要成果:
- 患者在开始使用Nintedanib.后出现明显的乙氨酸和升高的肝酶 (透氨酸炎).
- 感染性,自身免疫性和其他与药物有关的原因被排除在外.
- 随着尼丁达尼布的停用,埃索诺菲利亚和透氨炎迅速消失.
结论:
- 这个病例是第一个报告Nintedanib相关的eosinophilia的病例.
- 丁丁达尼布可能会诱导免疫介导的氨酸,可能是通过延迟过敏机制.
- 临床医生应该考虑用这种药物治疗的患者中,宁泰达尼布是产生埃索诺菲利亚的潜在原因.
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