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使用抗肿瘤坏死因子α单克隆抗体(英夫利昔单抗)治疗肠道白塞病的缓解情况。

Remission of intestinal Behçet's disease treated with anti-tumor necrosis factor alpha monoclonal antibody (Infliximab).

作者信息

Lee Jung Hoon, Kim Tae Nyeun, Choi Sun Taek, Jang Byung Ik, Shin Kyeong-Cheol, Lee Sam Beom, Shim Young Ran

机构信息

Department of Internal Medicine, Yeungnam University College of Medicine, Daegu, Korea.

出版信息

Korean J Intern Med. 2007 Mar;22(1):24-7. doi: 10.3904/kjim.2007.22.1.24.

DOI:10.3904/kjim.2007.22.1.24
PMID:17427642
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2687604/
Abstract

Behçet's disease (BD) is a chronic relapsing multisystem disease characterized by oral ulceration, genital ulceration and ocular lesions. Gastrointestinal involvement is rare, often difficult to treat and associated with a high mortality rate. We treated a 47-year-old Korean man with BD who had a recurrent intestinal ulcer with tumor necrosis factor alpha antibody (infliximab); he initially underwent right hemicolectomy due to uncontrolled intestinal bleeding. For patients with intestinal BD who fail to respond to conventional treatment, infliximab may be a safe and effective new therapeutic option.

摘要

白塞病(BD)是一种慢性复发性多系统疾病,其特征为口腔溃疡、生殖器溃疡和眼部病变。胃肠道受累较为罕见,治疗往往困难,且死亡率高。我们治疗了一名47岁的韩国白塞病男性患者,该患者有复发性肠道溃疡,使用肿瘤坏死因子α抗体(英夫利昔单抗)进行治疗;他最初因肠道出血无法控制而接受了右半结肠切除术。对于常规治疗无效的肠道白塞病患者,英夫利昔单抗可能是一种安全有效的新治疗选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c579/2687604/65ef789c67f4/kjim-22-24-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c579/2687604/5dcb95fdfae4/kjim-22-24-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c579/2687604/7fb9c5d30d49/kjim-22-24-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c579/2687604/84658b0706c2/kjim-22-24-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c579/2687604/65ef789c67f4/kjim-22-24-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c579/2687604/5dcb95fdfae4/kjim-22-24-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c579/2687604/7fb9c5d30d49/kjim-22-24-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c579/2687604/84658b0706c2/kjim-22-24-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c579/2687604/65ef789c67f4/kjim-22-24-g004.jpg

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本文引用的文献

1
Behçet's ileocolitis: successful treatment with tumor necrosis factor-alpha antibody (infliximab) therapy: report of a case.白塞氏病性回结肠炎:肿瘤坏死因子-α抗体(英夫利昔单抗)治疗成功:病例报告
Dis Colon Rectum. 2003 Jan;46(1):118-21. doi: 10.1007/s10350-004-6506-4.
2
Behçet's disease: a new target for anti-tumour necrosis factor treatment.白塞病:抗肿瘤坏死因子治疗的新靶点。
Ann Rheum Dis. 2002 Nov;61 Suppl 2(Suppl 2):ii51-3. doi: 10.1136/ard.61.suppl_2.ii51.
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Behçet's disease: an update on the pathogenesis.白塞病:发病机制的最新进展
生物制剂治疗小肠白塞病的最新进展
Curr Gastroenterol Rep. 2020 Mar 19;22(5):24. doi: 10.1007/s11894-020-00759-1.
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Anti-Tumor Necrosis Factor Therapy in Intestinal Behçet's Disease.抗肿瘤坏死因子治疗肠白塞病。
Gut Liver. 2018 Nov 15;12(6):623-632. doi: 10.5009/gnl17462.
5
Updated treatment strategies for intestinal Behçet's disease.肠道白塞病的更新治疗策略。
Korean J Intern Med. 2018 Jan;33(1):1-19. doi: 10.3904/kjim.2017.377. Epub 2017 Dec 8.
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Treatment and outcomes: medical and surgical treatment for intestinal Behçet's disease.治疗与预后:肠道白塞病的内科及外科治疗
Intest Res. 2017 Jul;15(3):318-327. doi: 10.5217/ir.2017.15.3.318. Epub 2017 Jun 12.
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Update on the Medical Management of Gastrointestinal Behçet's Disease.胃肠道白塞病的医学管理进展
Mediators Inflamm. 2017;2017:1460491. doi: 10.1155/2017/1460491. Epub 2017 Jan 22.
8
Intestinal Behçet's Disease: A True Inflammatory Bowel Disease or Merely an Intestinal Complication of Systemic Vasculitis?肠道白塞病:一种真正的炎症性肠病还是仅仅是系统性血管炎的肠道并发症?
Yonsei Med J. 2016 Jan;57(1):22-32. doi: 10.3349/ymj.2016.57.1.22.
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Diagnosis and management of intestinal Behçet's disease.肠道白塞病的诊断与管理
Clin J Gastroenterol. 2014 Jun;7(3):205-12. doi: 10.1007/s12328-014-0488-0. Epub 2014 Apr 20.
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Update on the therapy of Behçet disease.白塞病治疗的最新进展。
Ther Adv Chronic Dis. 2014 May;5(3):112-34. doi: 10.1177/2040622314523062.
Clin Exp Rheumatol. 2001 Sep-Oct;19(5 Suppl 24):S6-12.
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Effect of infliximab on threatening panuveitis in Behçet's disease.英夫利昔单抗对白塞病威胁性全葡萄膜炎的疗效。
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Rheumatology (Oxford). 2001 Apr;40(4):473-4. doi: 10.1093/rheumatology/40.4.473.
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Anti-tumor necrosis factor monoclonal antibody therapy for gastrointestinal Behçet's disease: a case report.抗肿瘤坏死因子单克隆抗体治疗胃肠道白塞病:一例报告
Gastroenterology. 2001 Mar;120(4):995-9. doi: 10.1053/gast.2001.22556.
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J Clin Gastroenterol. 2000 Mar;30(2):144-54. doi: 10.1097/00004836-200003000-00006.
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Behçet's disease.白塞病。
N Engl J Med. 1999 Oct 21;341(17):1284-91. doi: 10.1056/NEJM199910213411707.