一个由Cetuximab引起的严重皮肤不良反应的案例
Ya-Ting Yan1, Cai-Hong Jiang2, Li Wang3
1Affiliated Ordos Clinical College of Inner Mongolia Medical University; Ordos Central Hospital.
Journal of visualized experiments : JoVE
|January 6, 2026
概括
严重的皮肤反应,包括形皮疹和多形红斑样病变,可能发生在转移性直肠癌的塞图西马布治疗中. 早期识别和多学科管理,包括皮质类固醇和环素,对于患者的安全和治疗延续至关重要.
科学领域:
- 在瘤学瘤学.
- 皮肤病学 皮肤病学
- 药理学 药理学是指药理学的学科.
背景情况:
- 塞图西马布是一种EGFR抑制剂,经常导致皮肤不良事件 (AE).
- 严重的皮肤反应会影响治疗的坚持和患者的生活质量.
研究的目的:
- 报告在服用塞图西马布后发生严重皮肤副作用的病例.
- 为严重的 cetuximab 诱导的皮肤毒性制定一个可重复的管理方案.
主要方法:
- 一名44岁的男性患有转移性直肠癌,患有3-4级形皮疹和多形红斑样病变.
- 治疗包括停止服用 cetuximab,高剂量静脉注射甲基prednisolone和cyclosporine,以及支持性伤口护理.
- 诊断工作包括皮肤活检,免疫光学和实验室测试.
主要成果:
- 患者在72小时内经历了显著的改善,到14日,病变严重程度降低了90%.
- 成功过渡到贝瓦齐祖马布加FOLFOX化疗后皮肤学恢复.
- 在随访期间没有观察到皮疹的复发.
结论:
- 早期识别和多学科干预对于管理严重的 cetuximab 诱导的皮肤毒性至关重要.
- 一个结构化的管理协议可以确保患者的安全和治疗的连续性.
- 有效的管理允许随后的癌症治疗.
更多相关视频
06:08Assessment of Chimeric Antigen Receptor T Cell-Associated Toxicities Using an Acute Lymphoblastic Leukemia Patient-Derived Xenograft Mouse Model
Published on: February 10, 2023
1.7K
09:34Dynamic Imaging of Chimeric Antigen Receptor T Cells with [18F]Tetrafluoroborate Positron Emission Tomography/Computed Tomography
Published on: February 17, 2022
3.7K
相关概念视频
Skin Cancer
5.7K
Skin cancer is a type of cancer that occurs when there is an abnormal growth of skin cells, usually triggered by damage to the DNA within the skin cells. It is primarily caused by exposure to ultraviolet (UV) radiation from the sun or artificial sources like tanning beds. Skin cancer is the most common type of cancer worldwide, and its incidence continues to rise.
Basal Cell Carcinoma (BCC): BCC is the most common type of skin cancer, accounting for about 80% of cases. It typically develops in...
Basal Cell Carcinoma (BCC): BCC is the most common type of skin cancer, accounting for about 80% of cases. It typically develops in...
5.7K
Clinical Applications of Epidermal Stem Cells
3.2K
Epidermal stem cells (EpiSCs) are mainly located at the basal layer of the epidermis. These cells repair minor injuries of the skin and replace dead skin cells. However, EpiSCs’ cannot heal severe wounds such as major burns or those from diabetes or hereditary disorders. In such cases, culturing the epidermal stem cells from the patient is possible and has yielded successful treatment options, such as laboratory-grown skin grafts. These grafts are synthesized using a patient’s own...
3.2K
Chemotherapy-Induced Nausea and Vomiting: Neurokinin-1 Receptor Antagonists
564
Neurokinin 1 (NK1) receptors are distributed across the GI tract, vagal afferents, and key CNS regions including the central vomiting center and chemoreceptor trigger zone (CTZ) Chemotherapy agents stimulate enterochromaffin cells in the gastrointestinal (GI) tract to release large amounts of substance P (SP). SP is a neuropeptide released by specific sensory nerves in response to many different stressors, including those in the GI mucosa affected by chemotherapy. SP binds and activates...
564
Skin Diseases and Disorders
5.1K
Skin is the first line of defense and encounters a variety of microbes. Some pathogenic strains are often the cause of a broad range of infections of the skin and other body systems. These conditions can affect people of all ages and may have different causes, including genetic factors, infections, autoimmune reactions, environmental factors, and lifestyle choices.
Gram-positive Staphylococcus spp. and Streptococcus spp. are responsible for many of the most common skin infections. However, many...
Gram-positive Staphylococcus spp. and Streptococcus spp. are responsible for many of the most common skin infections. However, many...
5.1K
