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类风湿关节炎治疗用利妥昔单抗后心肌梗死:二者是否有关联?

Myocardial infarction after rituximab treatment for rheumatoid arthritis: Is there a link?

机构信息

Department of Rheumatology, Jan van Breemen Research Institute, Reade P.O. Box 58271, 1040 HG, Amsterdam, The Netherlands.

出版信息

Curr Pharm Des. 2014;20(4):496-9. doi: 10.2174/13816128113199990386.

DOI:10.2174/13816128113199990386
PMID:23565629
Abstract

Rituximab is an anti-CD20 monoclonal antibody often used in the treatment of rheumatoid arthritis (RA). Infusion reactions sometimes develop following rituximab administration. Delayed complications are rare. Acute coronary syndromes are listed as sideeffects of rituximab therapy. We report two cases of acute myocardial infarction following rituximab therapy for RA and review the literature regarding cardiac events in patients treated with rituximab. We would like to raise awareness of this possible complication in patients treated with rituximab.

摘要

利妥昔单抗是一种抗 CD20 单克隆抗体,常用于治疗类风湿关节炎(RA)。利妥昔单抗给药后有时会发生输注反应。迟发性并发症罕见。急性冠状动脉综合征被列为利妥昔单抗治疗的副作用。我们报告了两例 RA 患者接受利妥昔单抗治疗后发生急性心肌梗死的病例,并回顾了利妥昔单抗治疗患者心脏事件的文献。我们希望提高接受利妥昔单抗治疗的患者对此种可能并发症的认识。

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1
Myocardial infarction after rituximab treatment for rheumatoid arthritis: Is there a link?类风湿关节炎治疗用利妥昔单抗后心肌梗死:二者是否有关联?
Curr Pharm Des. 2014;20(4):496-9. doi: 10.2174/13816128113199990386.
2
Rituximab.利妥昔单抗。
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Use of intravenous immunoglobulin to treat chronic bilateral otomastoiditis in the setting of rituximab induced hypogammaglobulinemia.静脉注射免疫球蛋白治疗利妥昔单抗诱导的低丙种球蛋白血症致慢性双侧乳突炎。
Am J Otolaryngol. 2012 Sep-Oct;33(5):619-22. doi: 10.1016/j.amjoto.2012.01.006. Epub 2012 Feb 21.
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Induced psoriasis after rituximab therapy for rheumatoid arthritis: a case report and review of the literature.类风湿关节炎患者接受利妥昔单抗治疗后诱发银屑病:病例报告及文献复习。
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Rheumatoid arthritis: When should we use rituximab to treat RA?类风湿关节炎:我们应该何时使用利妥昔单抗治疗类风湿关节炎?
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Knee tuberculosis under rituximab therapy for rheumatoid arthritis.利妥昔单抗治疗类风湿关节炎过程中出现的膝关节结核
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[Rituximab in rheumatoid arthritis: a systematic review of efficacy and safety].[利妥昔单抗治疗类风湿关节炎:疗效与安全性的系统评价]
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Safety of infusing rituximab at a more rapid rate in patients with rheumatoid arthritis: results from the RATE-RA study.类风湿关节炎患者更快输注利妥昔单抗的安全性:RATE-RA研究结果
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[Beneficial effects of rituximab in the treatment of refractory nephrotic syndrome].利妥昔单抗治疗难治性肾病综合征的有益作用
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Prescrire Int. 2009 Oct;18(103):198-201.

引用本文的文献

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Update on the Application of Monoclonal Antibody Therapy in Primary Membranous Nephropathy.原发性膜性肾病中单克隆抗体治疗的应用进展。
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Effect of Biologics on Cardiovascular Inflammation: Mechanistic Insights and Risk Reduction.
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Non-ischemic cardiomyopathy after rituximab treatment for membranous nephropathy.利妥昔单抗治疗膜性肾病后发生的非缺血性心肌病。
J Renal Inj Prev. 2016 Nov 2;6(1):18-25. doi: 10.15171/jrip.2017.04. eCollection 2017.
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Immunol Res. 2017 Feb;65(1):262-275. doi: 10.1007/s12026-016-8833-7.
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Cardiac involvement in primary systemic vasculitis and potential drug therapies to reduce cardiovascular risk.原发性系统性血管炎中的心脏受累情况及降低心血管风险的潜在药物治疗方法。
Rheumatol Int. 2017 Jan;37(1):151-167. doi: 10.1007/s00296-016-3435-1. Epub 2016 Feb 17.
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The Effects of Rituximab on Lipids, Arterial Stiffness and Carotid Intima-Media Thickness in Rheumatoid Arthritis.利妥昔单抗对类风湿关节炎患者血脂、动脉僵硬度及颈动脉内膜中层厚度的影响
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Adverse cardiac events to monoclonal antibodies used for cancer therapy: The risk of Kounis syndrome.癌症治疗用单克隆抗体的心脏不良事件:Kounis 综合征的风险。
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