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凡德他尼诱发的史蒂文斯-约翰逊综合征。

Stevens-johnson syndrome induced by vandetanib.

作者信息

Yoon Jimi, Oh Chee Won, Kim Chi Yeon

机构信息

Department of Dermatology, Institute of Health Science, School of Medicine, Gyeongsang National University, Jinju, Korea.

出版信息

Ann Dermatol. 2011 Dec;23(Suppl 3):S343-5. doi: 10.5021/ad.2011.23.S3.S343. Epub 2011 Dec 27.

DOI:10.5021/ad.2011.23.S3.S343
PMID:22346274
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3276793/
Abstract

Vandetanib is a once-daily oral anticancer drug that selectively inhibits key signaling pathways in cancer by targeting vascular endothelial growth factor receptors, epidermal growth factor receptors tyrosine kinase, and rearranged during transfection-dependent tumor cell proliferation and survival. The most frequently reported adverse events attributed to vandetanib include diarrhea, elevated aminotransferase, asymptomatic corrected QT interval prolongation, and hypertension. Though a number of randomized, doubleblind studies, including cutaneous adverse events attributed to vandetanib, have been reported along with these general symptoms, no case of Stevens-Johnson syndrome (SJS) has been reported. This paper demonstrates a case of SJS induced by vandetanib.

摘要

凡德他尼是一种每日口服一次的抗癌药物,它通过靶向血管内皮生长因子受体、表皮生长因子受体酪氨酸激酶以及在转染依赖性肿瘤细胞增殖和存活过程中发生重排的关键信号通路,选择性地抑制癌症中的关键信号通路。与凡德他尼相关的最常报告的不良事件包括腹泻、转氨酶升高、无症状的校正QT间期延长和高血压。尽管已经报告了一些随机双盲研究,包括凡德他尼引起的皮肤不良事件以及这些一般症状,但尚未报告史蒂文斯-约翰逊综合征(SJS)病例。本文展示了一例由凡德他尼诱发的SJS病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3aa4/3276793/4acd80df4f96/ad-23-S343-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3aa4/3276793/4bf9e4ef4d10/ad-23-S343-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3aa4/3276793/72c14d5e640e/ad-23-S343-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3aa4/3276793/4acd80df4f96/ad-23-S343-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3aa4/3276793/4bf9e4ef4d10/ad-23-S343-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3aa4/3276793/72c14d5e640e/ad-23-S343-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3aa4/3276793/4acd80df4f96/ad-23-S343-g003.jpg

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本文引用的文献

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Vandetanib, designed to inhibit VEGFR2 and EGFR signaling, had no clinical activity as monotherapy for recurrent ovarian cancer and no detectable modulation of VEGFR2.凡德他尼旨在抑制 VEGFR2 和 EGFR 信号通路,作为复发性卵巢癌的单药治疗没有临床活性,也没有检测到 VEGFR2 的可调节性。
Clin Cancer Res. 2010 Jan 15;16(2):664-72. doi: 10.1158/1078-0432.CCR-09-2308. Epub 2010 Jan 12.
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Vandetanib for the treatment of patients with locally advanced or metastatic hereditary medullary thyroid cancer.凡德他尼用于治疗局部晚期或转移性遗传性髓样甲状腺癌患者。
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与酪氨酸激酶抑制剂相关的潜在危及生命的严重皮肤不良反应(综述)。
Oncol Rep. 2021 Mar;45(3):891-898. doi: 10.3892/or.2020.7911. Epub 2020 Dec 24.
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Evaluating vandetanib in the treatment of medullary thyroid cancer: patient-reported outcomes.评估凡德他尼治疗甲状腺髓样癌的疗效:患者报告的结果
Cancer Manag Res. 2019 Aug 21;11:7893-7907. doi: 10.2147/CMAR.S127848. eCollection 2019.
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A rare cutaneous phototoxic rash after vandetanib therapy in a patient with thyroid cancer: A case report.甲状腺癌患者凡德他尼治疗后出现罕见的皮肤光毒性皮疹:一例报告
Medicine (Baltimore). 2019 Aug;98(31):e16392. doi: 10.1097/MD.0000000000016392.
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A Case of Stevens-Johnson Syndrome Probably Induced by Herbal Medicine.1例可能由草药引起的史蒂文斯-约翰逊综合征病例。
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Correlations between clinical patterns and causes of erythema multiforme majus, Stevens-Johnson syndrome, and toxic epidermal necrolysis: results of an international prospective study.重症多形红斑、史蒂文斯-约翰逊综合征和中毒性表皮坏死松解症的临床模式与病因之间的相关性:一项国际前瞻性研究的结果
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Clinical classification of cases of toxic epidermal necrolysis, Stevens-Johnson syndrome, and erythema multiforme.中毒性表皮坏死松解症、史蒂文斯-约翰逊综合征和多形红斑病例的临床分类。
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