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皮下注射白细胞介素-2(IL-2)后发生的小叶性脂膜炎,以及在IL-2静脉治疗期间病情加重。

Lobular panniculitis after subcutaneous administration of interleukin-2 (IL-2), and its exacerbation during intravenous therapy with IL-2.

作者信息

Baars J W, Coenen J L, Wagstaff J, van der Valk P, Pinedo H M

机构信息

Department of Medical Oncology, Free University Hospital, Amsterdam, The Netherlands.

出版信息

Br J Cancer. 1992 Oct;66(4):698-9. doi: 10.1038/bjc.1992.340.

DOI:10.1038/bjc.1992.340
PMID:1419609
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1977420/
Abstract

Interleukin-2 (IL-2) is now registered for the treatment of renal cell carcinoma in a number of European countries. The subcutaneous (sc) route of administration is being used increasingly because of its better toxicity profile compared with higher dose intravenous (iv) protocols. We report here a patient who developed a lobular panniculitis at the site of sc IL-2 injection which prevents continuation of sc therapy. Subsequent administration of the same IL-2 dose by iv injection caused recurrence of the problem again necessitating discontinuation of IL-2 treatment.

摘要

白细胞介素-2(IL-2)目前已在多个欧洲国家注册用于治疗肾细胞癌。皮下(sc)给药途径的使用越来越多,因为与高剂量静脉内(iv)方案相比,其毒性特征更好。我们在此报告一名患者,该患者在皮下注射IL-2的部位发生了小叶性脂膜炎,导致皮下治疗无法继续。随后通过静脉注射给予相同剂量的IL-2导致该问题再次出现,再次需要停止IL-2治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e489/1977420/562622f9ffa2/brjcancer00062-0094-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e489/1977420/562622f9ffa2/brjcancer00062-0094-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e489/1977420/562622f9ffa2/brjcancer00062-0094-a.jpg

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本文引用的文献

1
Erythema nodosum in a patient with renal cell carcinoma treated with interleukin 2 and lymphokine-activated killer cells.一名接受白细胞介素-2和淋巴因子激活的杀伤细胞治疗的肾细胞癌患者出现结节性红斑。
JAMA. 1987 Dec 4;258(21):3120-1.
2
Dermatologic changes associated with interleukin 2 administration.与白细胞介素2给药相关的皮肤变化。
JAMA. 1987 Sep 25;258(12):1624-9.
3
Toxicity of immunotherapy with interleukin-2 and lymphokine-activated killer cells.白细胞介素-2与淋巴因子激活的杀伤细胞免疫疗法的毒性
Pathol Immunopathol Res. 1988;7(6):459-76. doi: 10.1159/000157075.
4
A case of fatal pemphigus vulgaris in association with beta interferon and interleukin-2 therapy.一例与β干扰素和白细胞介素-2治疗相关的致命性寻常型天疱疮病例。
Cancer. 1989 May 15;63(10):2005-7. doi: 10.1002/1097-0142(19890515)63:10<2005::aid-cncr2820631023>3.0.co;2-p.
5
Life-threatening bullous skin eruptions during interleukin-2 therapy.白细胞介素-2治疗期间危及生命的大疱性皮肤疹
J Natl Cancer Inst. 1991 Jan 2;83(1):56-7. doi: 10.1093/jnci/83.1.56.
6
Home therapy with recombinant interleukin-2 and interferon-alpha 2b in advanced human malignancies.重组白细胞介素-2和α-2b干扰素在家中对晚期人类恶性肿瘤进行的治疗。
Lancet. 1990 Jun 23;335(8704):1509-12. doi: 10.1016/0140-6736(90)93039-r.