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多发性硬化症患者在接受那他珠单抗治疗期间出现银屑病。

Psoriasis during natalizumab treatment for multiple sclerosis.

机构信息

Department of Neurology, Hospital General de Tomelloso, Tomelloso, Ciudad Real, Spain.

出版信息

J Neurol. 2012 Dec;259(12):2758-60. doi: 10.1007/s00415-012-6713-1. Epub 2012 Oct 25.

DOI:10.1007/s00415-012-6713-1
PMID:23096069
Abstract

Beta-interferon therapy is known to trigger psoriasis, but this effect has not been previously reported for other multiple sclerosis treatments, such as natalizumab. The following is a case report. A 31-year-old woman affected by psoriasis and relapsing-remitting multiple sclerosis suffered a severe worsening of psoriasis symptoms during natalizumab treatment and acquired a drug-resistant course. This case suggests that aggravation of psoriasis might be a rare side effect of natalizumab, and that clinicians should be aware of the possibility of paradoxical activation of autoimmune diseases during its treatment.

摘要

β干扰素疗法已知可引发银屑病,但这一效应以前并未在其他多发性硬化症治疗药物(如那他珠单抗)中报告过。以下是一则病例报告。一名 31 岁女性患有银屑病和复发缓解型多发性硬化症,在接受那他珠单抗治疗期间银屑病症状严重恶化,并发展为耐药病程。该病例提示银屑病加重可能是那他珠单抗的一种罕见副作用,临床医生在治疗过程中应注意自身免疫性疾病发生矛盾性激活的可能性。

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Fumarates improve psoriasis and multiple sclerosis by inducing type II dendritic cells.富马酸盐通过诱导 II 型树突状细胞改善银屑病和多发性硬化症。
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Immune-mediated adverse effects of biologicals used in the treatment of rheumatic diseases.治疗风湿性疾病的生物制剂的免疫介导的不良反应。
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Treatment approaches to patients with multiple sclerosis and coexisting autoimmune disorders.多发性硬化症合并自身免疫性疾病患者的治疗方法。
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Front Immunol. 2019 Jun 25;10:1440. doi: 10.3389/fimmu.2019.01440. eCollection 2019.
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