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利妥昔单抗治疗系统性红斑狼疮中类固醇抵抗性自身免疫性血小板减少症。

Steroid-resistant autoimmune thrombocytopenia in systemic lupus erythematosus treated with rituximab.

作者信息

Sardesai Vasudha V, Sardesai Vidyadhar R, Agarwal Trupti D

机构信息

Department of Medicine, Bharati Vidyapeeth University Medical College and Hospital, Pune, Maharashtra, India.

Department of Dermatology, Venereology and Leprosy, Bharati Vidyapeeth University Medical College and Hospital, Pune, Maharashtra, India.

出版信息

Indian J Dermatol. 2015 Jan-Feb;60(1):106. doi: 10.4103/0019-5154.147874.

DOI:10.4103/0019-5154.147874
PMID:25657435
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4318041/
Abstract

Systemic Lupus Erythematosus (SLE) is a multisystem disorder characterized by production of numerous autoantibodies, some of which have pathogenic consequences and result in considerable morbidity. Herein, we present a case of 48-year-old female with SLE having autoimmune hemolytic anemia, autoimmune thrombocytopenia, renal involvement, and recurrent flares of skin manifestations. She did not respond to the conventional therapy and was controlled and treated with Rituximab, a chimeric, monoclonal antiCD20 antibody, which specifically depletes B lymphocytes.

摘要

系统性红斑狼疮(SLE)是一种多系统疾病,其特征是产生多种自身抗体,其中一些具有致病后果并导致相当高的发病率。在此,我们报告一例48岁患有SLE的女性病例,该患者伴有自身免疫性溶血性贫血、自身免疫性血小板减少症、肾脏受累以及皮肤表现反复发作。她对传统治疗无反应,随后使用利妥昔单抗进行控制和治疗,利妥昔单抗是一种嵌合单克隆抗CD20抗体,可特异性清除B淋巴细胞。

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Steroid-resistant autoimmune thrombocytopenia in systemic lupus erythematosus treated with rituximab.利妥昔单抗治疗系统性红斑狼疮中类固醇抵抗性自身免疫性血小板减少症。
Indian J Dermatol. 2015 Jan-Feb;60(1):106. doi: 10.4103/0019-5154.147874.
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Current role of rituximab in systemic lupus erythematosus.利妥昔单抗在系统性红斑狼疮中的当前作用。
Int J Rheum Dis. 2015 Feb;18(2):154-63. doi: 10.1111/1756-185X.12463. Epub 2014 Dec 19.
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Successful treatment of amegakaryocytic thrombocytopenia with anti-CD20 antibody (rituximab) in a patient with systemic lupus erythematosus.抗CD20抗体(利妥昔单抗)成功治疗系统性红斑狼疮患者的无巨核细胞性血小板减少症
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Successful rituximab treatment of refractory hemophagocytic lymphohistiocytosis and autoimmune hemolytic anemia associated with systemic lupus erythematosus.利妥昔单抗成功治疗与系统性红斑狼疮相关的难治性噬血细胞性淋巴组织细胞增生症和自身免疫性溶血性贫血。
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Down-regulation of CD40 and CD80 on B cells in patients with life-threatening systemic lupus erythematosus after successful treatment with rituximab.利妥昔单抗成功治疗后,危及生命的系统性红斑狼疮患者B细胞上CD40和CD80的下调。
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Reprint of: B cell elimination in systemic lupus erythematosus. Clin. Immunol. 146(2) 90-103.再版:系统性红斑狼疮中的 B 细胞消除。临床免疫学 146(2)90-103。
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Anti-CD20 monoclonal antibody (Rituximab) for life-threatening autoimmune haemolytic anaemia in a patient with systemic lupus erythematosus.抗CD20单克隆抗体(利妥昔单抗)用于治疗系统性红斑狼疮患者的危及生命的自身免疫性溶血性贫血。
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Clin Rheumatol. 2018 Dec;37(12):3337-3344. doi: 10.1007/s10067-018-4312-y. Epub 2018 Oct 2.
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Outcomes of rituximab therapy in refractory lupus: A meta-analysis.利妥昔单抗治疗难治性狼疮的疗效:一项荟萃分析。
Eur J Rheumatol. 2018 Jul;5(2):118-126. doi: 10.5152/eurjrheum.2018.17096. Epub 2018 Feb 13.

本文引用的文献

1
Low-dose rituximab therapy for refractory thrombocytopenia in patients with systemic lupus erythematosus--a prospective pilot study.低剂量利妥昔单抗治疗系统性红斑狼疮患者难治性血小板减少症的前瞻性初步研究。
Rheumatology (Oxford). 2011 Sep;50(9):1640-4. doi: 10.1093/rheumatology/ker176. Epub 2011 May 13.
2
Drug insight: rituximab in renal disease and transplantation.药物洞察:利妥昔单抗在肾脏疾病与移植中的应用
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The efficacy of rituximab in the treatment of inhibitor-associated hemostatic disorders.利妥昔单抗治疗与抑制剂相关的止血障碍的疗效。
Thromb Haemost. 2006 Aug;96(2):119-25.
4
B cell depletion as a novel treatment for systemic lupus erythematosus: a phase I/II dose-escalation trial of rituximab.B细胞清除作为系统性红斑狼疮的一种新疗法:利妥昔单抗的I/II期剂量递增试验
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Ann Rheum Dis. 2002 May;61(5):409-13. doi: 10.1136/ard.61.5.409.
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Mortality risks associated with specific clinical manifestations of systemic lupus erythematosus.与系统性红斑狼疮特定临床表现相关的死亡风险。
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Treatment of refractory, systemic lupus erythematosus-associated thrombocytopenia with intermittent low-dose intravenous cyclophosphamide.
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Dapsone for autoimmune thrombocytopenic purpura.
Am J Hematol. 1993 Sep;44(1):70-2. doi: 10.1002/ajh.2830440117.
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The 1982 revised criteria for the classification of systemic lupus erythematosus.1982年系统性红斑狼疮分类的修订标准。
Arthritis Rheum. 1982 Nov;25(11):1271-7. doi: 10.1002/art.1780251101.
10
Splenic radiation for corticosteroid-resistant immune thrombocytopenia.脾区放疗用于治疗对皮质类固醇耐药的免疫性血小板减少症。
Ann Intern Med. 1992 Jun 15;116(12 Pt 1):977-81. doi: 10.7326/0003-4819-116-12-977.