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基于临床的超声检查对接受英夫利昔单抗治疗溃疡性直肠炎患者双侧肩胛下囊囊炎的早期诊断。

Early diagnosis of bilateral sub-deltoid bursitis using clinic-based ultrasonography in a patient receiving infliximab therapy for ulcerative pouchitis.

机构信息

Department of Gastroenterology, Adelaide & Meath Hospital, Tallaght, Dublin 24, Republic of Ireland.

出版信息

Ir J Med Sci. 2010 Dec;179(4):597-8. doi: 10.1007/s11845-008-0238-8. Epub 2008 Oct 24.

DOI:10.1007/s11845-008-0238-8
PMID:18949534
Abstract

BACKGROUND

Infliximab, a monoclonal chimeric antibody to tumour necrosis factor (TNF)α, is a novel therapy used in the management of chronic refractory pouchitis that is unresponsive to conventional medical therapy.

METHODS

This report describes a case of non-infective bursitis following infliximab therapy and documents the role of musculoskeletal ultrasound in detecting soft tissue fluid collections and in guiding aspiration.

CONCLUSION

A high index of suspicion is required when assessing new or worsening musculoskeletal pain in patients receiving infliximab and involvement of a rheumatologist at an early stage is essential in order to appropriately diagnose and manage this condition.

摘要

背景

英夫利昔单抗是一种针对肿瘤坏死因子(TNF)α的单克隆嵌合抗体,是一种用于治疗慢性难治性袋炎的新型疗法,对于常规药物治疗无效的袋炎患者有效。

方法

本报告描述了一例英夫利昔单抗治疗后发生的非感染性滑囊炎病例,并记录了肌肉骨骼超声在检测软组织积液和引导抽吸中的作用。

结论

在评估接受英夫利昔单抗治疗的患者新发或加重的肌肉骨骼疼痛时,需要高度怀疑这种情况,并且早期请风湿病专家参与对于正确诊断和管理这种情况至关重要。

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Early diagnosis of bilateral sub-deltoid bursitis using clinic-based ultrasonography in a patient receiving infliximab therapy for ulcerative pouchitis.基于临床的超声检查对接受英夫利昔单抗治疗溃疡性直肠炎患者双侧肩胛下囊囊炎的早期诊断。
Ir J Med Sci. 2010 Dec;179(4):597-8. doi: 10.1007/s11845-008-0238-8. Epub 2008 Oct 24.
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本文引用的文献

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Efficacy, effectiveness and safety of etanercept in monotherapy for refractory psoriatic arthritis: a 26-week observational study.依那西普单药治疗难治性银屑病关节炎的疗效、有效性及安全性:一项为期26周的观察性研究。
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Fatal case of protothecosis in a hematopoietic stem cell transplant recipient after infliximab treatment for graft-versus-host disease.
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Infliximab in refractory pouchitis complicated by fistulae following ileo-anal pouch for ulcerative colitis.英夫利昔单抗治疗溃疡性结肠炎回肠肛管袋状吻合术后并发瘘管的难治性袋炎
Aliment Pharmacol Ther. 2003 May 15;17(10):1263-71. doi: 10.1046/j.1365-2036.2003.01535.x.
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Experience with restorative proctocolectomy in 201 patients.201例患者行保留肛门直肠切除术的经验。
Ann Chir Gynaecol. 1993;82(3):159-64.