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利妥昔单抗治疗重症皮肤病:靶点、疾病及剂量

Rituximab in severe skin diseases: target, disease, and dose.

作者信息

Bennett Daniel D, Ohanian Maro, Cable Christian T

机构信息

Department of Dermatology, Division of Hematology and Oncology, Scott and White Healthcare, Texas A&M Health Science Center College of Medicine. Temple, TX, USA.

出版信息

Clin Pharmacol. 2010;2:135-41. doi: 10.2147/CPAA.S10929. Epub 2010 Jul 7.

DOI:10.2147/CPAA.S10929
PMID:22291497
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3262375/
Abstract

New clinical indications for rituximab seem to appear every day. This review will trace the use of this monoclonal antibody from lymphoid malignancy, to classic autoimmune disease, and specifically severe autoimmune skin diseases. The history leading to different dosing schema with associated pharmacokinetic data will be discussed. A case of livedoid vasculopathy (atrophie blanche) responding to rituximab will illustrate how the response to therapy can help to elucidate previously obscure pathophysiology.

摘要

利妥昔单抗的新临床适应证似乎每天都在出现。本综述将追溯这种单克隆抗体从用于淋巴系统恶性肿瘤,到用于经典自身免疫性疾病,特别是严重自身免疫性皮肤病的应用历程。还将讨论导致不同给药方案及相关药代动力学数据的历史背景。一例对白塞病(白色萎缩)有效的利妥昔单抗病例将说明治疗反应如何有助于阐明此前不明的病理生理学机制。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d26b/3262375/5ffca3949818/cpaa-2-135f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d26b/3262375/567703b4ae9c/cpaa-2-135f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d26b/3262375/5ffca3949818/cpaa-2-135f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d26b/3262375/567703b4ae9c/cpaa-2-135f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d26b/3262375/5ffca3949818/cpaa-2-135f2.jpg

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引用本文的文献

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Livedoid vasculopathy: A review with focus on terminology and pathogenesis.皮肤白细胞碎裂性血管病:术语和发病机制综述。
Vasc Med. 2022 Dec;27(6):593-603. doi: 10.1177/1358863X221130380. Epub 2022 Oct 26.
2
Biological Treatments in Atopic Dermatitis.特应性皮炎的生物治疗
J Clin Med. 2015 Apr 3;4(4):593-613. doi: 10.3390/jcm4040593.

本文引用的文献

1
Rituximab in the treatment of dermatomyositis and other inflammatory myopathies. A report of 4 cases and review of the literature.利妥昔单抗治疗皮肌炎和其他炎性肌病。4 例报告及文献复习。
Clin Exp Rheumatol. 2009 Nov-Dec;27(6):1009-16.
2
Is there a role for B-cell depletion as therapy for scleroderma? A case report and review of the literature.硬皮病的 B 细胞耗竭治疗是否有效?病例报告及文献复习。
Semin Arthritis Rheum. 2010 Oct;40(2):127-36. doi: 10.1016/j.semarthrit.2009.09.003. Epub 2009 Dec 11.
3
Livedoid vasculopathy: thrombotic or inflammatory disease?
皮肤白细胞碎裂性血管病:血栓性还是炎症性疾病?
Clin Exp Dermatol. 2010 Oct;35(7):693-8. doi: 10.1111/j.1365-2230.2009.03732.x.
4
Successful combination of Rituximab and plasma exchange in the treatment of cryoglobulinemic vasculitis with skin ulcers: a case report.利妥昔单抗与血浆置换联合成功治疗伴皮肤溃疡的冷球蛋白血症性血管炎:一例报告
Cases J. 2009 Jul 6;2:7859. doi: 10.4076/1757-1626-2-7859.
5
A multicenter survey of rituximab therapy for refractory antineutrophil cytoplasmic antibody-associated vasculitis.一项关于利妥昔单抗治疗难治性抗中性粒细胞胞浆抗体相关性血管炎的多中心调查。
Arthritis Rheum. 2009 Jul;60(7):2156-68. doi: 10.1002/art.24637.
6
Rituximab therapy for severe refractory chronic Henoch-Schönlein purpura.利妥昔单抗治疗重度难治性慢性过敏性紫癜。
J Pediatr. 2009 Jul;155(1):136-9. doi: 10.1016/j.jpeds.2008.12.049.
7
Epidermal barrier dysfunction in atopic dermatitis.特应性皮炎中的表皮屏障功能障碍。
J Invest Dermatol. 2009 Aug;129(8):1892-908. doi: 10.1038/jid.2009.133. Epub 2009 Jun 4.
8
Livedoid vasculopathy with underlying subcutaneous necrotizing venulitis in an asymptomatic hepatitis B virus carrier: is livedoid vasculopathy a true nonvasculitic disorder?无症状乙肝病毒携带者合并潜在皮下坏死性静脉炎的类脂质渐进性坏死性血管病:类脂质渐进性坏死性血管病是真正的非血管炎性疾病吗?
Am J Dermatopathol. 2009 May;31(3):293-6. doi: 10.1097/DAD.0b013e31819560aa.
9
Rituximab-induced vasculitis: A case report and review of the medical published work.利妥昔单抗诱导的血管炎:一例病例报告及已发表医学文献综述
J Dermatol. 2009 May;36(5):284-7. doi: 10.1111/j.1346-8138.2009.00639.x.
10
Refractory urticarial vasculitis responsive to anti-B-cell therapy.
Br J Dermatol. 2009 Feb;160(2):470-2. doi: 10.1111/j.1365-2133.2008.08990.x. Epub 2008 Dec 11.