塞尔科利祖马布相关的自身免疫性类似肝炎
Eleanor Peggie1, Sashrika Shetty2, Michael Johnston2
1Gastroenterology, Queen Elizabeth University Hospital, Glasgow, UK eleanor.peggie@nhs.scot.
BMJ case reports
|December 21, 2025
概括
瘤坏死因子α (TNF-α) 抑制剂可以导致肝损伤. 这份病例报告详细介绍了一名牛皮患者的TNF-α抑制剂Certolizumab产生的药物诱导的自身免疫性肝炎,强调了全类风险.
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
- 皮肤病学 皮肤病学
背景情况:
- 瘤坏死因子α (TNF-α) 抑制剂用于牛皮等自身免疫性疾病.
- 与其他TNF-α抑制剂Infliximab和Adalimumab一起报告了肝损伤.
研究的目的:
- 在患有牛皮的患者中报告与Certolizumab相关的药物诱导肝损伤 (DILI) 病例.
- 突出TNF-α抑制剂类的自身免疫性肝炎的潜力.
主要方法:
- 一个案例报告,一名30多岁的女性接受了针对牛皮的Certolizumab治疗.
- 包括肝功能测试,肝脏查和肝脏活检.
- 在药物停用后监测肝功能.
主要成果:
- 患者患有急性严重肝炎,这表明DILI是Certolizumab的次要原因.
- 组织学检查证实了急性严重肝炎.
- 切尔科利祖马布治疗停止后,肝功能检测正常化,随着稳定的随访.
结论:
- 药物诱导的自身免疫性肝炎是一种与TNF-α抑制剂类相关的潜在不良影响.
- 临床医生应考虑DILI在启动或管理TNF-α抑制剂治疗牛皮或其他自身免疫疾病的患者时.
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