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HLA-DRB1*04:05 在两例接受纳武利尤单抗序贯治疗的晚期黑色素瘤患者中出现的与 Vogt-Koyanagi-Harada 病样葡萄膜炎。

HLA-DRB1*04:05 in two cases of Vogt-Koyanagi-Harada disease-like uveitis developing from an advanced melanoma patient treated by sequential administration of nivolumab and dabrafenib/trametinib therapy.

机构信息

Department of Dermatology, Tohoku University Graduate School of Medicine, Sendai, Japan.

Department of Dermatology, Kyoto University Graduate School of Medicine, Kyoto, Japan.

出版信息

J Dermatol. 2018 Jun;45(6):735-737. doi: 10.1111/1346-8138.14273. Epub 2018 Feb 27.

Abstract

Although uveitis is reported as a rare adverse event (AE) associated with dabrafenib/trametinib therapy or nivolumab, the occurrence of severe uveitis is extremely rare. We describe two cases of Vogt-Koyanagi-Harada (VKH)-like uveitis developing after the sequential administration of nivolumab and dabrafenib/trametinib therapy. Interestingly, both cases had HLA-DRB1*04:05, which is strongly associated with VKH disease, and achieved biologically complete remission after the treatment for uveitis. Our cases suggest a possible correlation between VKH-like uveitis as an AE and the clinical outcomes of sequential administration of nivolumab and dabrafenib/trametinib therapy for the treatment of advanced melanoma.

摘要

虽然葡萄膜炎是达拉非尼/曲美替尼治疗或纳武利尤单抗治疗相关的罕见不良事件(AE),但严重葡萄膜炎的发生极其罕见。我们描述了两例纳武利尤单抗序贯达拉非尼/曲美替尼治疗后发生的 Vogt-Koyanagi-Harada(VKH)样葡萄膜炎。有趣的是,两例均具有与 VKH 疾病强烈相关的 HLA-DRB1*04:05,并且在葡萄膜炎治疗后达到了生物学完全缓解。我们的病例提示 VKH 样葡萄膜炎作为 AE 与纳武利尤单抗序贯达拉非尼/曲美替尼治疗晚期黑色素瘤的临床结局之间可能存在相关性。

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