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来那度胺对一名POEMS综合征患者的长期治疗

Long-Term Therapy with Lenalidomide in a Patient with POEMS Syndrome.

作者信息

Chu Benjamin F, Shana'ah Arwa, Hofmeister Craig C, Benson Don M, Sell Megan, Tucker Jill, Pichiorri Flavia, Efebera Yvonne A

机构信息

Division of Hematology, Department of Internal Medicine, Ohio State University, Columbus, OH, United States.

Department of Pathology, Ohio State University, Columbus, OH, United States.

出版信息

Eur J Case Rep Intern Med. 2014;1. doi: 10.12890/2014_000093.

Abstract

Lenalidomide is an effective therapy against malignant plasma cells and a potent agent against proinflammatory and proangiogenic cytokines. The use of lenalidomide in POEMS (polyneuropathy, organomegaly, endocrinopathy, monoclonal protein with plasma cells, skin changes) has been reported, but its benefit in long-term use is not well established. A 55-year-old man with POEMS and debilitating polyneuropathy was treated with lenalidomide and dexamethasone followed by maintenance lenalidomide. He remains in haematologic remission and in complete recovery of functional status 3.5 years after diagnosis. This case supports the long-term use of lenalidomide in patients with POEMS syndrome.

摘要

来那度胺是一种治疗恶性浆细胞的有效疗法,也是一种对抗促炎和促血管生成细胞因子的强效药物。已有报道来那度胺用于POEMS综合征(多发性神经病变、脏器肿大、内分泌病、伴有浆细胞的单克隆蛋白、皮肤改变)的治疗,但长期使用的益处尚未明确。一名患有POEMS综合征和致残性多发性神经病变的55岁男性接受了来那度胺和地塞米松治疗,随后接受来那度胺维持治疗。诊断3.5年后,他仍处于血液学缓解状态,功能状态完全恢复。该病例支持在POEMS综合征患者中长期使用来那度胺。

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本文引用的文献

1
New advances in the diagnosis and treatment of POEMS syndrome.POEMS 综合征的诊断与治疗新进展。
Br J Haematol. 2013 May;161(3):303-15. doi: 10.1111/bjh.12236. Epub 2013 Feb 8.
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How I treat POEMS syndrome.我如何治疗 POEMS 综合征。
Blood. 2012 Jun 14;119(24):5650-8. doi: 10.1182/blood-2012-03-378992. Epub 2012 Apr 30.
7
Successful bortezomib-based treatment in POEMS syndrome.基于硼替佐米的治疗方案在POEMS综合征中的成功应用。
Eur J Haematol. 2009 Dec 1;83(6):609-10. doi: 10.1111/j.1600-0609.2009.01330.x. Epub 2009 Aug 6.
8
Lenalidomide therapy in a patient with POEMS syndrome.来那度胺治疗POEMS综合征患者。
Blood. 2007 Aug 1;110(3):1075-6. doi: 10.1182/blood-2007-03-082354.

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