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由醋酸格拉替雷引起的接触性皮炎。

Contact dermatitis induced by glatiramer acetate.

机构信息

Department of Dermatology and Allergy, Cantonal Hospital of St Gallen, Switzerland.

出版信息

Mult Scler. 2011 Nov;17(11):1390-2. doi: 10.1177/1352458511411062. Epub 2011 Jul 5.

DOI:10.1177/1352458511411062
PMID:21729979
Abstract

Glatiramer acetate (Copaxone(®)) is an immunomodulatory polypeptide used in patients with relapsing-remitting multiple sclerosis. It represents a safe treatment option with mild side effects. In this study, we look at a 39-year-old woman who received glatiramer acetate as subcutaneous injections for two months and developed contact dermatitis. The drug had to be stopped, and treatment with topical prednisone was initiated. Prick/scratch testing was negative but the lymphocyte transformation test was highly positive for glatiramer acetate. This is the first report on contact dermatitis induced by glatiramer acetate injections. The treatment consisted of local topical steroids and cessation of the drug.

摘要

醋酸格拉替雷(Copaxone(®))是一种用于治疗复发缓解型多发性硬化症的免疫调节多肽药物。它是一种安全的治疗选择,副作用轻微。在本研究中,我们观察了一名 39 岁女性,她接受了两个月的醋酸格拉替雷皮下注射治疗,结果发生了接触性皮炎。药物不得不停止使用,开始局部使用泼尼松进行治疗。皮内/划痕试验为阴性,但淋巴细胞转化试验对醋酸格拉替雷呈高度阳性。这是首例关于醋酸格拉替雷注射引起接触性皮炎的报告。治疗包括局部使用皮质类固醇和停止使用该药物。

相似文献

1
Contact dermatitis induced by glatiramer acetate.由醋酸格拉替雷引起的接触性皮炎。
Mult Scler. 2011 Nov;17(11):1390-2. doi: 10.1177/1352458511411062. Epub 2011 Jul 5.
2
Lobular panniculitis at the site of glatiramer acetate injections for the treatment of relapsing-remitting multiple sclerosis. A report of two cases.用于治疗复发缓解型多发性硬化症的醋酸格拉替雷注射部位的小叶性脂膜炎。两例报告。
J Cutan Pathol. 2008 Apr;35(4):407-10. doi: 10.1111/j.1600-0560.2007.00819.x.
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Systemic reaction to glatiramer acetate.对醋酸格拉替雷的全身反应。
Contact Dermatitis. 2000 Jul;43(1):62-3.
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Endermology: a treatment for injection-induced lipoatrophy in multiple sclerosis patients treated with sub cutaneous glatiramer acetate.经皮电刺激真皮层疗法:用于接受皮下醋酸格拉替雷治疗的多发性硬化症患者注射所致脂肪萎缩的一种治疗方法。
Clin Neurol Neurosurg. 2011 Nov;113(9):721-4. doi: 10.1016/j.clineuro.2011.07.012. Epub 2011 Aug 11.
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Immunological mechanisms underlying delayed-type hypersensitivity reactions to glatiramer acetate.迟发型超敏反应对醋酸格拉替雷的免疫机制。
Ann Allergy Asthma Immunol. 2012 Jul;109(1):47-51. doi: 10.1016/j.anai.2012.05.002. Epub 2012 May 23.
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Long-term follow up of glatiramer acetate compassionate use in Belgium.醋酸格拉替雷在比利时同情用药的长期随访
Acta Neurol Belg. 2005 Jun;105(2):81-5.
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Anaphylactic reaction after injection of glatiramer acetate (Copaxone®) in patients with relapsing-remitting multiple sclerosis.复发缓解型多发性硬化症患者注射醋酸格拉替雷(Copaxone®)后发生过敏反应。
Eur Neurol. 2011;66(6):368-70. doi: 10.1159/000334107. Epub 2011 Nov 25.
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Effects of glatiramer acetate on spasticity in previously interferon-beta-treated and treatment-naive patients with relapsing-remitting multiple sclerosis: a prospective, nonrandomized, open-label, uncontrolled, observational pilot study.醋酸格拉替雷对既往接受干扰素-β治疗和初治的复发缓解型多发性硬化症患者痉挛的影响:一项前瞻性、非随机、开放标签、非对照、观察性研究。
Clin Ther. 2010 Jun;32(6):1061-6. doi: 10.1016/j.clinthera.2010.06.005.
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Glatiramer acetate-associated, CD30+, primary, cutaneous, anaplastic large-cell lymphoma.醋酸格拉替雷相关的、CD30阳性、原发性皮肤间变性大细胞淋巴瘤。
Arch Neurol. 2008 Oct;65(10):1378-9. doi: 10.1001/archneur.65.10.1378.
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Contribution of endermology to improving indurations and panniculitis/lipoatrophy at glatiramer acetate injection site.Endermology 对改善格拉替雷注射部位硬结和脂膜炎/脂肪萎缩的作用。
Adv Ther. 2012 Mar;29(3):267-75. doi: 10.1007/s12325-012-0005-0. Epub 2012 Feb 28.

引用本文的文献

1
Adverse side effects of Glatiramer acetate and Interferon beta-1a in patients with multiple sclerosis: A systematic review of case reports.醋酸格拉替雷和干扰素β-1a治疗多发性硬化症患者的不良副作用:病例报告的系统评价
Curr J Neurol. 2023 Apr 4;22(2):115-136. doi: 10.18502/cjn.v22i2.13340.
2
Flare up reaction during provocation test to glatiramer acetate in a patient with allergy to interferon beta1a.在对干扰素 β1a 过敏的患者进行醋酸格拉替雷激发试验时出现爆发反应。
Allergy Asthma Immunol Res. 2014 Sep;6(5):467-9. doi: 10.4168/aair.2014.6.5.467. Epub 2014 Feb 7.