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纳武单抗治疗引起的严重食管炎和胃炎。

Severe Esophagitis and Gastritis from Nivolumab Therapy.

作者信息

Boike Justin, Dejulio Todd

机构信息

Division of Gastroenterology and Hepatology, Northwestern University, Chicago, IL.

Division of Anatomic and Clinical Pathology, Northwestern University, Chicago, IL.

出版信息

ACG Case Rep J. 2017 Apr 12;4:e57. doi: 10.14309/crj.2017.57. eCollection 2017.

DOI:10.14309/crj.2017.57
PMID:28459081
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5404341/
Abstract

Nivolumab is a novel chemotherapy currently approved for the treatment of multiple metastatic malignancies. This class of therapy, known as immune checkpoint inhibitors, is notable for an autoimmune-related adverse event profile. Diarrhea and colitis are common gastrointestinal adverse events, however, upper gastrointestinal events are rarely reported. We present a case of nivolumab-associated esophagitis and gastritis that has yet to be reported in the published literature.

摘要

纳武单抗是一种目前已被批准用于治疗多种转移性恶性肿瘤的新型化疗药物。这类疗法被称为免疫检查点抑制剂,以其与自身免疫相关的不良事件谱而闻名。腹泻和结肠炎是常见的胃肠道不良事件,然而,上消化道事件鲜有报道。我们报告一例纳武单抗相关的食管炎和胃炎病例,该病例在已发表的文献中尚未见报道。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ffd/5404341/de9cd7a0190e/CG-CGCR170024F003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ffd/5404341/b15ff907724f/CG-CGCR170024F001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ffd/5404341/ebcccd576e8c/CG-CGCR170024F002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ffd/5404341/de9cd7a0190e/CG-CGCR170024F003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ffd/5404341/b15ff907724f/CG-CGCR170024F001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ffd/5404341/ebcccd576e8c/CG-CGCR170024F002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ffd/5404341/de9cd7a0190e/CG-CGCR170024F003.jpg

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N Engl J Med. 2016 Nov 10;375(19):1856-1867. doi: 10.1056/NEJMoa1602252. Epub 2016 Oct 8.
2
Mechanism-driven biomarkers to guide immune checkpoint blockade in cancer therapy.用于指导癌症治疗中免疫检查点阻断的机制驱动生物标志物。
Nat Rev Cancer. 2016 May;16(5):275-87. doi: 10.1038/nrc.2016.36. Epub 2016 Apr 15.
3
Diagnosis, monitoring and management of immune-related adverse drug reactions of anti-PD-1 antibody therapy.
Nivolumab-induced tumour-like gastritis: A case report.纳武利尤单抗诱导的肿瘤样胃炎:一例报告。
World J Clin Cases. 2023 Jun 26;11(18):4350-4359. doi: 10.12998/wjcc.v11.i18.4350.
4
Immune Checkpoint Inhibitor-Induced Lymphocytic Esophagitis.免疫检查点抑制剂诱导的淋巴细胞性食管炎。
Cureus. 2023 Jun 3;15(6):e39920. doi: 10.7759/cureus.39920. eCollection 2023 Jun.
5
Adverse Effects of Immune-Checkpoint Inhibitors: A Comprehensive Imaging-Oriented Review.免疫检查点抑制剂的不良反应:全面的影像导向综述。
Curr Oncol. 2023 May 3;30(5):4700-4723. doi: 10.3390/curroncol30050355.
6
Multiple White Plaques in the Esophagus: A Possible Case of Esophageal Mucosal Alteration Associated With Immune-Related Adverse Events of Immune Checkpoint Inhibitors.食管内多发白色斑块:一例可能与免疫检查点抑制剂免疫相关不良事件有关的食管黏膜改变病例
Cureus. 2022 Dec 19;14(12):e32710. doi: 10.7759/cureus.32710. eCollection 2022 Dec.
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