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来那度胺治疗多发性骨髓瘤致史蒂文斯-约翰逊综合征 1 例报告并文献复习

Stevens-Johnson syndrome after lenalidomide therapy for multiple myeloma: a case report and a review of treatment options.

机构信息

Division of Haematology, University of Messina, Messina, Italy.

出版信息

Hematol Oncol. 2012 Mar;30(1):41-5. doi: 10.1002/hon.1000. Epub 2011 Jun 23.

Abstract

Stevens- Johnson syndrome (SJS) is a severe and life-threatening condition. Although allopurinol, an antihyperuricemia drug, is the drug most commonly associated with SJS, more than 100 different causative drugs have been reported. Among hematologic drugs recently introduced into the market, drugs such as rituximab, imatinib, and bortezomib are reported. Here, we describe a patient with SJS while receiving lenalidomide in combination with prednisolone for treatment-naïve multiple myeloma. Although SJS has been reported rarely as an adverse reaction to Lenalidomide, this drug should be considered in the etiology of SJS, and the increased number of prescriptions of Lenalidomide for the therapy of multiple myeloma has to stress the awareness of its potentially serious side-effects.

摘要

史蒂文斯-约翰逊综合征(SJS)是一种严重且危及生命的疾病。虽然别嘌醇是最常与 SJS 相关的抗高尿酸血症药物,但已有超过 100 种不同的致病药物被报道。在最近上市的血液学药物中,也有报道称利妥昔单抗、伊马替尼和硼替佐米等药物会引起 SJS。在这里,我们描述了一名接受来那度胺联合泼尼松龙治疗初治多发性骨髓瘤的患者发生 SJS 的情况。虽然 SJS 作为来那度胺的不良反应已有报道,但该药应考虑在 SJS 的病因中,来那度胺用于治疗多发性骨髓瘤的处方数量增加,必须强调其潜在严重副作用的认识。

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