Division of Hematology/Oncology, Department of Medicine, University of North Carolina, Chapel Hill, NC.
Department of Pathology and Laboratory Medicine, University of North Carolina, Chapel Hill, NC.
Am J Ther. 2018 Mar/Apr;25(2):e270-e272. doi: 10.1097/MJT.0000000000000517.
The treatment of refractory immune-mediated thrombocytopenia purpura (ITP) can be challenging. This case report describes treatment of refractory ITP with bortezomib, a proteasome inhibitor. This strategy has been successful in relapsing thrombotic thrombocytopenic purpura but is a novel therapeutic approach for ITP. Further research use of proteasome inhibition in refractory ITP may be warranted.
治疗难治性免疫介导的血小板减少性紫癜(ITP)可能具有挑战性。本病例报告描述了使用蛋白酶体抑制剂硼替佐米治疗难治性 ITP。这种策略在复发性血栓性血小板减少性紫癜中是成功的,但对于 ITP 是一种新的治疗方法。进一步研究蛋白酶体抑制在难治性 ITP 中的应用可能是有必要的。