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[类风湿关节炎患者眼表鳞状上皮瘤用α-2b干扰素治疗的并发症]

[Complications in the treatment of ocular surface squamous neoplasia with interferon α‑2b in rheumatoid arthritis].

作者信息

Torres Suárez E, Pinheiro R, Schrage N

机构信息

Augenklinik, Krankenhaus Merheim, Kliniken der Stadt Köln, Ostmerheimer Str. 200, 51109, Köln, Deutschland.

出版信息

Ophthalmologe. 2017 Feb;114(2):155-158. doi: 10.1007/s00347-016-0292-y.

DOI:10.1007/s00347-016-0292-y
PMID:27300720
Abstract

BACKGROUND

Interferon α‑2b (IFN α‑2b) is an established and well-tolerated treatment for ocular surface squamous neoplasia (OSSN).

METHOD

Report of complications in two patients with OSSN and rheumatoid arthritis treated with adjuvant topical IFN α‑2b.

RESULTS

One patient developed a scleral melt and the other one severe keratitis. After discontinuing treatment with IFN α‑2b both patients showed considerable improvement.

CONCLUSION

Immunosuppressed patients with OSSN under topical IFN α‑2b should be closely monitored for early detection of complications.

摘要

背景

干扰素α-2b(IFNα-2b)是一种已确立且耐受性良好的治疗眼表鳞状上皮肿瘤(OSSN)的方法。

方法

报告两例接受辅助性局部应用IFNα-2b治疗的OSSN合并类风湿性关节炎患者的并发症情况。

结果

一名患者发生巩膜溶解,另一名患者发生严重角膜炎。停用IFNα-2b治疗后,两名患者均有明显改善。

结论

局部应用IFNα-2b治疗的OSSN免疫抑制患者应密切监测,以便早期发现并发症。

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本文引用的文献

1
Management of diffuse ocular surface squamous neoplasia: efficacy and complications of topical chemotherapy.弥漫性眼表鳞状上皮肿瘤的管理:局部化疗的疗效及并发症
Clin Exp Ophthalmol. 2015 Jan-Feb;43(1):20-5. doi: 10.1111/ceo.12377. Epub 2014 Sep 9.
2
Surgical versus medical treatment of ocular surface squamous neoplasia: a comparison of recurrences and complications.手术与药物治疗眼表鳞状上皮肿瘤:复发和并发症比较。
Ophthalmology. 2014 May;121(5):994-1000. doi: 10.1016/j.ophtha.2013.11.017. Epub 2014 Jan 9.
3
Interferon for ocular surface squamous neoplasia in 81 cases: outcomes based on the American Joint Committee on Cancer classification.
81 例眼表鳞状上皮肿瘤应用干扰素治疗的结果:基于美国癌症联合委员会分类的评估。
Cornea. 2013 Mar;32(3):248-56. doi: 10.1097/ICO.0b013e3182523f61.
4
Conjunctival squamous cell carcinoma arising in immunosuppressed patients (organ transplant, human immunodeficiency virus infection).免疫抑制患者(器官移植、人类免疫缺陷病毒感染)发生的结膜鳞状细胞癌。
Ophthalmology. 2011 Nov;118(11):2133-2137.e1. doi: 10.1016/j.ophtha.2011.04.001. Epub 2011 Jul 16.
5
Ocular surface toxicity associated with topical interferon alpha-2b.与局部应用干扰素α-2b相关的眼表毒性。
Br J Ophthalmol. 2007 Aug;91(8):1087-8. doi: 10.1136/bjo.2006.107482.
6
Interferon alpha eye drops: treatment of atypical lymphoid hyperplasia with secondary alopecia.干扰素α眼药水:治疗伴继发性脱发的非典型淋巴样增生。
Br J Ophthalmol. 2007 Aug;91(8):1085-6. doi: 10.1136/bjo.2006.106930.
7
Ocular surface squamous neoplasia: a standard of care survey.眼表鳞状上皮肿瘤:一项护理标准调查。
Cornea. 2005 Apr;24(3):297-300. doi: 10.1097/01.ico.0000138834.42489.ba.
8
Ocular surface squamous neoplasia: a review.眼表鳞状上皮肿瘤:综述
Cornea. 2003 Oct;22(7):687-704. doi: 10.1097/00003226-200310000-00015.