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[白塞病与现代肿瘤坏死因子抑制药物的应用可能性]

[Behçet's disease and the possibilities of modern tumour necrosis factor inhibiting medication].

作者信息

van Laar J A M, Jamnitski A, Baarsma G S, van Daele P L A, van Hagen P M

机构信息

Erasmus MC-Dijkzigt, afd. Inwendige Geneeskunde, sectie Immunologie, afd. Immunologie, Dr.Molewaterplein 40, 3015 GD Rotterdam.

出版信息

Ned Tijdschr Geneeskd. 2006 Apr 1;150(13):705-9.

Abstract

A 25-year-old woman was admitted after having had a fever for one month, headache, nausea, vomiting, dysarthria and right-sided hemiparesis. A 35-year-old man was admitted because of severe loss of vision and a history of focal retinochoroiditis. Both were suffering from Behçet's disease. Behçet's disease can present with systemic symptoms that might be related to aberrant T-cell functions. It is treated with a variety of immunoregulatory drugs. Recently, treatment with tumour necrosis factor (TNF) alpha-inhibiting molecular designed drugs such as infliximab or etanercept has improved the therapeutic prospective of Behçet patients. Both of the patients described above developed refractory disease and responded to treatment with these new drugs.

摘要

一名25岁女性在发热1个月、伴有头痛、恶心、呕吐、构音障碍和右侧偏瘫后入院。一名35岁男性因严重视力丧失和局灶性视网膜脉络膜炎病史入院。两人均患有白塞病。白塞病可出现可能与异常T细胞功能相关的全身症状。该病采用多种免疫调节药物治疗。最近,使用肿瘤坏死因子(TNF)α抑制性分子设计药物如英夫利昔单抗或依那西普进行治疗,改善了白塞病患者的治疗前景。上述两名患者均患有难治性疾病,对这些新药治疗有反应。

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