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阿仑单抗治疗难治性塞扎里综合征

Alemtuzumab in refractory Sézary syndrome.

作者信息

Reifs Carmen María Alcántara, Salido-Vallejo Rafael, Garnacho-Saucedo Gloria María, Corte-Sánchez Sofía De la, González-Menchen Alberto, García-Nieto Antonio Vélez

机构信息

Hospital Universitario Reina Sofía - Córdoba, Spain.

出版信息

An Bras Dermatol. 2016 Sep-Oct;91(5):642-644. doi: 10.1590/abd1806-4841.20164322.

DOI:10.1590/abd1806-4841.20164322
PMID:27828640
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5087225/
Abstract

Sézary syndrome is a primary cutaneous T-cell lymphoma characterized by the triad of erythroderma, lymphadenopathy and circulating atypical cells. The emergence of new molecular targets has enabled the development of drugs such as alemtuzumab, an anti-CD52 monoclonal antibody, which has shown promising results in the treatment of this entity. We report the case of a 70-year-old male with refractory Sézary syndrome in whom treatment with alemtuzumab achieved an 80% skin lesion clearance with complete haematologic and radiologic response. The treatment was discontinued after 4 months due to adverse effects, with the patient showing a sustained response without disease progression after 13 months of follow-up.

摘要

塞扎里综合征是一种原发性皮肤T细胞淋巴瘤,其特征为红皮病、淋巴结病和循环中的非典型细胞三联征。新分子靶点的出现推动了诸如阿仑单抗等药物的研发,阿仑单抗是一种抗CD52单克隆抗体,在治疗该疾病方面已显示出有前景的结果。我们报告一例70岁男性难治性塞扎里综合征患者,使用阿仑单抗治疗后皮肤病变清除率达80%,血液学和影像学完全缓解。由于不良反应,治疗4个月后停药,随访13个月,患者显示持续缓解且无疾病进展。

相似文献

1
Alemtuzumab in refractory Sézary syndrome.阿仑单抗治疗难治性塞扎里综合征
An Bras Dermatol. 2016 Sep-Oct;91(5):642-644. doi: 10.1590/abd1806-4841.20164322.
2
Successful treatment of chemotherapy-refractory Sézary syndrome with alemtuzumab (Campath-1H).使用阿仑单抗(Campath-1H)成功治疗化疗难治性 Sézary 综合征。
Eur J Haematol. 2004 Jan;72(1):61-3. doi: 10.1046/j.0902-4441.2004.00169.x.
3
Alemtuzumab treatment for Sézary syndrome: A single-center experience.阿仑单抗治疗 Sézary 综合征:单中心经验
J Dermatolog Treat. 2016;27(2):179-81. doi: 10.3109/09546634.2015.1086479. Epub 2015 Sep 25.
4
Treatment of Sézary Syndrome With Alemtuzumab: A Series of 5 Cases and a Review of the Literature.
Actas Dermosifiliogr. 2015 Sep;106(7):e33-9. doi: 10.1016/j.ad.2015.02.008. Epub 2015 May 7.
5
Can the level of CD52 expression on Sézary cells be used to predict the response of Sézary syndrome to alemtuzumab?
J Am Acad Dermatol. 2012 Nov;67(5):1083-5. doi: 10.1016/j.jaad.2012.05.010.
6
Alemtuzumab for relapsed and refractory erythrodermic cutaneous T-cell lymphoma: a single institution experience from the Robert H. Lurie Comprehensive Cancer Center.阿仑单抗治疗复发/难治性红皮病性皮肤 T 细胞淋巴瘤:来自罗伯特·H·卢里综合癌症中心的单机构经验。
Leuk Lymphoma. 2009 Dec;50(12):1969-76. doi: 10.3109/10428190903216770.
7
Transformation of Sézary syndrome into CD30+ anaplastic large T-cell lymphoma after alemtuzumab therapy with evidence of clonal unity.阿仑单抗治疗后Sezary综合征转化为CD30+间变性大T细胞淋巴瘤,存在克隆一致性证据
Am J Dermatopathol. 2015 Jan;37(1):73-7. doi: 10.1097/DAD.0000000000000156.
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Association of autoimmunity and long-term complete remission in patients with Sézary syndrome treated with mogamulizumab.莫加莫拉单抗治疗蕈样肉芽肿综合征患者的自身免疫与长期完全缓解的关联
Br J Dermatol. 2019 Feb;180(2):419-420. doi: 10.1111/bjd.17320. Epub 2018 Nov 22.
9
Sezary syndrome presenting with leonine facies and treated with low-dose subcutaneous alemtuzumab.以狮面为表现的Sezary综合征并接受低剂量皮下注射阿仑单抗治疗。
Dermatol Online J. 2011 Nov 15;17(11):6.
10
Alemtuzumab in Sézary syndrome: efficient but not innocent.阿仑单抗治疗 Sézary 综合征:有效但并非无害。
Eur J Dermatol. 2007 Nov-Dec;17(6):525-9. doi: 10.1684/ejd.2007.0269. Epub 2007 Oct 19.

本文引用的文献

1
New and established treatment options for mycosis fungoides and Sézary syndrome - an update.蕈样肉芽肿和塞扎里综合征的新治疗方法及现有治疗方案——最新进展
J Dtsch Dermatol Ges. 2014 Jul;12(7):561-9. doi: 10.1111/ddg.12376. Epub 2014 May 29.
2
Primary cutaneous T-cell lymphoma (mycosis fungoides and Sézary syndrome): part II. Prognosis, management, and future directions.原发性皮肤 T 细胞淋巴瘤(蕈样肉芽肿和赛泽里综合征):第二部分。预后、治疗和未来方向。
J Am Acad Dermatol. 2014 Feb;70(2):223.e1-17; quiz 240-2. doi: 10.1016/j.jaad.2013.08.033.
3
Primary cutaneous T-cell lymphoma (mycosis fungoides and Sézary syndrome): part I. Diagnosis: clinical and histopathologic features and new molecular and biologic markers.原发性皮肤 T 细胞淋巴瘤(蕈样肉芽肿和赛泽里综合征):第一部分。诊断:临床和组织病理学特征以及新的分子和生物学标志物。
J Am Acad Dermatol. 2014 Feb;70(2):205.e1-16; quiz 221-2. doi: 10.1016/j.jaad.2013.07.049.
4
Long-term efficacy and safety of alemtuzumab in advanced primary cutaneous T-cell lymphomas.阿仑单抗治疗晚期原发性皮肤 T 细胞淋巴瘤的长期疗效和安全性。
Br J Dermatol. 2014 Mar;170(3):720-4. doi: 10.1111/bjd.12690.
5
Alemtuzumab for relapsed and refractory erythrodermic cutaneous T-cell lymphoma: a single institution experience from the Robert H. Lurie Comprehensive Cancer Center.阿仑单抗治疗复发/难治性红皮病性皮肤 T 细胞淋巴瘤:来自罗伯特·H·卢里综合癌症中心的单机构经验。
Leuk Lymphoma. 2009 Dec;50(12):1969-76. doi: 10.3109/10428190903216770.
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Subcutaneous alemtuzumab for Sézary Syndrome in the very elderly.
Leuk Res. 2008 Aug;32(8):1299-303. doi: 10.1016/j.leukres.2007.11.009. Epub 2007 Dec 21.
7
Alemtuzumab in Sézary syndrome: efficient but not innocent.阿仑单抗治疗 Sézary 综合征:有效但并非无害。
Eur J Dermatol. 2007 Nov-Dec;17(6):525-9. doi: 10.1684/ejd.2007.0269. Epub 2007 Oct 19.
8
Phase 2 study of alemtuzumab (anti-CD52 monoclonal antibody) in patients with advanced mycosis fungoides/Sezary syndrome.阿仑单抗(抗CD52单克隆抗体)用于晚期蕈样肉芽肿/塞扎里综合征患者的2期研究。
Blood. 2003 Jun 1;101(11):4267-72. doi: 10.1182/blood-2002-09-2802. Epub 2003 Jan 23.