在患有类风湿性关节炎的患者中,奥佐拉利祖马布诱导的多焦点脱线神经病变
Yuya Ikegawa1, Yuichi Hamada1, Naoki Hayakawa1
1Neurology, Sumitomo Hospital, Osaka, JPN.
Cureus
|January 12, 2026
概括
瘤亡因子-α (TNF-α) 抑制剂可以导致神经损伤. 一项案例研究表明,TNF-α抑制剂ozoralizumab也可能引发脱髓性神经病变,需要治疗才能恢复.
科学领域:
- 神经学 神经学
- 类风湿病学 类风湿病学
- 免疫学 免疫学 免疫学
背景情况:
- 已知瘤缩因子-α (TNF-α) 抑制剂可诱导脱髓化多神经病变.
- 这种不良反应以前没有被报告与ozoralizumab.
研究的目的:
- 报告与奥索拉利祖马布使用相关的潜在脱髓化神经病变病例.
- 要突出该患者的临床和电生理学发现.
主要方法:
- 一个57岁的男性患有类风湿性关节炎的病例报告.
- 临床评估包括麻醉,手腕下降和握力.
- 神经传导研究,以评估神经功能.
- 用静脉注射免疫球蛋白疗法进行治疗.
主要成果:
- 患者在开始使用ozoralizumab后出现了与脱髓化神经病变一致的症状.
- 神经传导研究发现了双边辐射神经传导块.
- 停用奥索拉利祖马布后症状仍然存在,但通过静脉注射免疫球蛋白治疗而消失.
- 实现了完全的临床和电生理学恢复.
结论:
- 奥索拉利祖马布可能会引发多焦点脱髓性神经病变.
- 及时诊断和治疗,如静脉注射免疫球蛋白,对于恢复至关重要.
- 对奥索拉利祖马布的神经毒性潜力的进一步调查是有必要的.
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