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尼洛替尼诱发的慢性髓性白血病患者急性胰腺炎

Nilotinib-Induced Acute Pancreatitis in a Patient with Chronic Myeloid Leukemia.

作者信息

Patel Vihang, Pattisapu Anil, Attia Karim, Weiss John

机构信息

Mount Carmel Health System, Columbus, Ohio, USA.

出版信息

Case Rep Gastroenterol. 2017 May 22;11(2):344-347. doi: 10.1159/000468510. eCollection 2017 May-Aug.

DOI:10.1159/000468510
PMID:28626381
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5471777/
Abstract

Nilotinib, a second-generation tyrosine kinase inhibitor, is used for treatment of chronic myeloid leukemia (CML); it has been widely used especially for imatinib-resistant CML. Despite being a novel drug in this therapeutic class, it has the potential to be harmful. We present the case of an elderly woman who developed life-threatening acute pancreatitis as an adverse event after having started the drug. There is only one reported case in the literature of nilotinib-induced acute pancreatitis. The purpose of this case report is to educate physicians who prescribe this medication to be aware of potential life-threatening adverse events. As more and more therapies are available, physicians should be aware of potential effects of cancer treatment that could be life-threatening to patients.

摘要

尼洛替尼是一种第二代酪氨酸激酶抑制剂,用于治疗慢性髓性白血病(CML);它已被广泛使用,尤其是用于对伊马替尼耐药的CML。尽管它是该治疗类别中的一种新药,但仍有潜在危害。我们报告了一例老年女性病例,该患者在开始使用该药物后发生了危及生命的急性胰腺炎这一不良事件。文献中仅报道了一例尼洛替尼诱发急性胰腺炎的病例。本病例报告的目的是教育开具此药的医生,使其意识到潜在的危及生命的不良事件。随着越来越多的治疗方法出现,医生应意识到癌症治疗可能对患者产生的危及生命的潜在影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b92a/5471777/de457f836c93/crg-0011-0344-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b92a/5471777/de457f836c93/crg-0011-0344-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b92a/5471777/de457f836c93/crg-0011-0344-g01.jpg

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引用本文的文献

1
Delayed acute pancreatitis induced by nilotinib in a patient with chronic myeloid leukemia attaining sustained complete molecular response.尼洛替尼诱发慢性髓性白血病患者出现延迟性急性胰腺炎,该患者已获得持续完全分子学缓解。
EJHaem. 2020 May 31;1(1):309-311. doi: 10.1002/jha2.21. eCollection 2020 Jul.
2
A Drug-Induced Acute Pancreatitis Retrospective Study.药物诱导性急性胰腺炎的回顾性研究。
Can J Gastroenterol Hepatol. 2020 Nov 3;2020:1516493. doi: 10.1155/2020/1516493. eCollection 2020.

本文引用的文献

1
Nilotinib-associated acute pancreatitis.尼洛替尼相关的急性胰腺炎。
Ann Pharmacother. 2013 Jan;47(1):e3. doi: 10.1345/aph.1R334. Epub 2013 Jan 8.
2
Tyrosine kinase inhibitors and acute pancreatitis.酪氨酸激酶抑制剂与急性胰腺炎
JOP. 2010 May 5;11(3):291-3.
3
Nilotinib for the frontline treatment of Ph(+) chronic myeloid leukemia.尼洛替尼用于 Ph(+) 慢性髓性白血病的一线治疗。
Blood. 2009 Dec 3;114(24):4933-8. doi: 10.1182/blood-2009-07-232595. Epub 2009 Oct 12.
4
Nilotinib: a second-generation tyrosine kinase inhibitor for the treatment of chronic myelogenous leukemia.尼洛替尼:一种用于治疗慢性粒细胞白血病的第二代酪氨酸激酶抑制剂。
Clin Ther. 2008 Nov;30(11):1956-75. doi: 10.1016/j.clinthera.2008.11.014.
5
Nilotinib in imatinib-resistant CML and Philadelphia chromosome-positive ALL.尼洛替尼用于伊马替尼耐药的慢性粒细胞白血病和费城染色体阳性的急性淋巴细胞白血病。
N Engl J Med. 2006 Jun 15;354(24):2542-51. doi: 10.1056/NEJMoa055104.