免疫检查点抑制剂相关的表皮亡:术语,病理学和临床影响
Ashley A Brent1, Lori Lowe1,2, Jaclyn Plotzke1
1From the Department of Pathology, University of Michigan, Ann Arbor (Brent, Lowe, Plotzke).
Archives of pathology & laboratory medicine
|November 24, 2025
概括
免疫检查点抑制剂相关的表皮亡 (ICIREN) 可以模仿严重的药物反应,但往往具有不同的特征. 早期识别和临床病理相关性是管理ICIREN和允许继续癌症治疗的关键.
科学领域:
- 免疫学 免疫学 免疫学
- 皮肤病学 皮肤病学
- 在瘤学瘤学.
背景情况:
- 免疫检查点抑制剂 (ICI) 是重要的癌症疗法,但可能导致严重的皮肤不良事件.
- 与ICI相关的表皮亡 (ICIREN) 是一个诊断挑战,模仿史蒂文斯-约翰逊综合征/有毒表皮亡.
- 越来越多的证据表明ICIREN可能是一个独特的临床病理学实体.
研究的目的:
- 审查关于ICI相关的表皮亡的文献 (ICIREN).
- 检查ICIREN的术语,组织病理学,临床过程,病理生理学和诊断影响.
- 为病理学家和临床医生提供管理ICIREN的指导.
主要方法:
- 在PubMed的系统文献搜索和会议记录.
- 包括关于ICIREN的案例系列,回顾性审查和机制研究.
- 专注于诊断和管理的临床病理相关性.
主要成果:
- ICIREN可能出现延迟发病,进展变化和有限的粘膜干扰.
- 截然不同的基因病理特征包括状接口皮肤炎和附干涉.
- 早期诊断和管理可能允许继续ICI治疗.
结论:
- ICIREN代表了一种不同于经典的史蒂文斯-约翰逊综合征/有毒表皮解的反应谱.
- 了解ICIREN的独特特征对于准确的诊断和患者管理至关重要.
- 多学科合作和临床病理相关性对于优化ICIREN的结果至关重要.
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