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一名接受依那西普治疗的类风湿关节炎患者随后发生肺孢子菌肺炎时的血清细胞因子浓度:病例报告

Serum cytokine concentrations in a patient with rheumatoid arthritis on etanercept therapy who subsequently developed pneumocystis pneumonia: a case report.

作者信息

Sato Masao, Takemura Masao, Shinohe Ryuki, Shimizu Katsuji

机构信息

Department of Orthopaedic Surgery, Gifu University School of Medicine, 1-1 Yanagido Gifu, Gifu 501-1194, Japan.

出版信息

Case Rep Rheumatol. 2011;2011:185657. doi: 10.1155/2011/185657. Epub 2011 Dec 15.

DOI:10.1155/2011/185657
PMID:22937439
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3420776/
Abstract

We report a rheumatoid arthritis patient who was treated with etanercept. Serum levels of tumor-necrosis-factor- (TNF-) alpha, soluble-tumor-necrosis-factor receptor- (sTNFR-) I and -II, interleukin- (IL-) 6, and IL-1 beta were measured by ELISA before and during the course of therapy. While the serum levels of IL-6 and IL-1 beta dropped rapidly following the initiation of therapy, the concentrations of TNF-alpha and sTNFR-II steadily increased to a plateau. Although significant clinical efficacy was observed, etanercept had to be discontinued when after 12 weeks of therapy the patient was found to have pneumocystis pneumonia.

摘要

我们报告了一名接受依那西普治疗的类风湿性关节炎患者。在治疗前及治疗过程中,通过酶联免疫吸附测定法(ELISA)检测血清中肿瘤坏死因子-α(TNF-α)、可溶性肿瘤坏死因子受体-I(sTNFR-I)和-II(sTNFR-II)、白细胞介素-6(IL-6)以及白细胞介素-1β(IL-1β)的水平。治疗开始后,IL-6和IL-1β的血清水平迅速下降,而TNF-α和sTNFR-II的浓度则稳步上升至平台期。尽管观察到显著的临床疗效,但在治疗12周后患者被发现患有肺孢子菌肺炎,不得不停用依那西普。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/163d/3420776/f52814940060/CRIM.RHEUMATOLOGY2011-185657.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/163d/3420776/3d7d14e97bf1/CRIM.RHEUMATOLOGY2011-185657.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/163d/3420776/e5041f3dd14d/CRIM.RHEUMATOLOGY2011-185657.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/163d/3420776/5aaae2330805/CRIM.RHEUMATOLOGY2011-185657.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/163d/3420776/f52814940060/CRIM.RHEUMATOLOGY2011-185657.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/163d/3420776/3d7d14e97bf1/CRIM.RHEUMATOLOGY2011-185657.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/163d/3420776/e5041f3dd14d/CRIM.RHEUMATOLOGY2011-185657.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/163d/3420776/5aaae2330805/CRIM.RHEUMATOLOGY2011-185657.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/163d/3420776/f52814940060/CRIM.RHEUMATOLOGY2011-185657.004.jpg

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