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患有类风湿关节炎并接受来氟米特治疗的女性中发生播散性皮肤和内脏卡波西肉瘤。

Disseminated cutaneous and visceral Kaposi sarcoma in a woman with rheumatoid arthritis receiving leflunomide.

机构信息

Department of Internal Medicine, College of Medicine, Dong-A University, Pusan, Korea.

出版信息

Rheumatol Int. 2012 Apr;32(4):1065-8. doi: 10.1007/s00296-009-1354-0. Epub 2010 Jan 10.

DOI:10.1007/s00296-009-1354-0
PMID:20063189
Abstract

Kaposi sarcoma (KS) is a vascular neoplasm mainly affecting the skin of the limbs that has previously been associated with rheumatoid arthritis (RA). When compared with the RA patients treated with corticosteroids and immunosuppressive drugs, the reported number of KS in RA patients was very rare. Although the exact mechanisms of developing KS in RA patients are unclear, some drugs which include corticosteroid have been suggested as an etiological factor in previous case reports of RA and KS. We report, here in, another case of KS associated with the initiation of leflunomide in a patient with RA.

摘要

卡波西肉瘤(KS)是一种主要影响四肢皮肤的血管肿瘤,以前与类风湿关节炎(RA)有关。与接受皮质类固醇和免疫抑制剂治疗的 RA 患者相比,报告的 RA 患者 KS 病例非常罕见。虽然 RA 患者发生 KS 的确切机制尚不清楚,但一些药物,包括皮质类固醇,在以前的 RA 和 KS 病例报告中被认为是一个病因因素。我们在此报告另一个 RA 患者在开始使用来氟米特后出现 KS 的病例。

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本文引用的文献

1
Human herpesvirus-8 and Kaposi sarcoma after kidney transplantation: mechanisms of tumor genesis.肾移植后人类疱疹病毒8型与卡波西肉瘤:肿瘤发生机制
Iran J Kidney Dis. 2009 Jul;3(3):121-6.
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Concurrent antiviral and immunosuppressive activities of leflunomide in vivo.来氟米特在体内的抗病毒和免疫抑制协同活性。
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Kaposi's sarcoma associated with tumour necrosis factor alpha neutralising therapy.与肿瘤坏死因子α中和治疗相关的卡波西肉瘤
接受雷公藤甲素/雷公藤乙素治疗类风湿关节炎的患者发生播散性皮肤卡波西肉瘤。
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Kaposi's sarcoma in rheumatic diseases.风湿性疾病中的卡波西肉瘤。
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Transplantation. 2001 Jan 15;71(1):170-4. doi: 10.1097/00007890-200101150-00031.
7
Kaposi's sarcoma in two patients following low-dose corticosteroid treatment for rheumatological disease.两名风湿性疾病患者在接受低剂量皮质类固醇治疗后发生卡波西肉瘤。
Rheumatology (Oxford). 2000 Nov;39(11):1294-6. doi: 10.1093/rheumatology/39.11.1294.
8
Kaposi's sarcoma.卡波西肉瘤
N Engl J Med. 2000 Apr 6;342(14):1027-38. doi: 10.1056/NEJM200004063421407.
9
Novel mechanism of inhibition of cytomegalovirus by the experimental immunosuppressive agent leflunomide.实验性免疫抑制剂来氟米特抑制巨细胞病毒的新机制。
Transplantation. 1999 Sep 27;68(6):814-25. doi: 10.1097/00007890-199909270-00014.
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