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[基于两例病例报告的多系统硬化症治疗算法的改变]

[Change of therapeutic algorithm in sclerosis multiplex based on two case reports].

作者信息

Biernacki Tamás, Bencsik Krisztina, Kincses Zsigmond Tamás, Sandi Dániel, Fricska-Nagy Zsanett, Faragó Péter, Vécsei László

机构信息

Szegedi Tudományegyetem, Általános Orvostudományi Kar, Szent-Györgyi Albert Klinikai Központ, Neurológiai Klinika, Szeged.

MTA-SZTE Idegtudományi Kutatócsoport, Szeged.

出版信息

Ideggyogy Sz. 2017 Nov 30;70(11-12):381-387. doi: 10.18071/isz.70.0381.

DOI:10.18071/isz.70.0381
PMID:29870646
Abstract

The aim of our case reports is to demonstrate the therapeutic use and possibilities one has with alemtuzumab, should it be used either as a first or second line therapy. Our first patient's disease in the beginning seemed to be benign. It was not the case however, over several years the diesase showed high activity both radiologically and clinically, she was treated with alemtuzumab as part of an esclationbased therapeutic strategy. The second patient's disease on the other hand showed formidable activity since the very beginning both radiologically and clinically. Therefore we were facing a very disastrous prognosis on the long run, accordingly he received alemtuzumab treatment very early into his illness.

摘要

我们病例报告的目的是展示阿仑单抗作为一线或二线治疗药物时的治疗用途和可能性。我们的首例患者的疾病起初看似良性。然而并非如此,数年来该疾病在放射学和临床上均表现出高活性,她接受了阿仑单抗治疗,这是基于逐步升级的治疗策略的一部分。另一方面,第二例患者的疾病从一开始在放射学和临床上就表现出严重的活性。因此从长远来看我们面临着非常糟糕的预后,相应地,他在患病早期就接受了阿仑单抗治疗。

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1
[Change of therapeutic algorithm in sclerosis multiplex based on two case reports].[基于两例病例报告的多系统硬化症治疗算法的改变]
Ideggyogy Sz. 2017 Nov 30;70(11-12):381-387. doi: 10.18071/isz.70.0381.
2
[Alemtuzumab therapy 2017].[阿仑单抗治疗2017年]
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Mult Scler Relat Disord. 2019 Feb;28:31-33. doi: 10.1016/j.msard.2018.12.004. Epub 2018 Dec 3.
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[Magnetic resonance imaging in the course of alemtuzumab and teriflunomide therapy].[阿仑单抗和特立氟胺治疗过程中的磁共振成像]
Ideggyogy Sz. 2017 Jan 30;70(1-2):15-24. doi: 10.18071/isz.70.0015.
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J Neurol. 2018 Nov;265(11):2494-2505. doi: 10.1007/s00415-018-8822-y. Epub 2018 Mar 10.
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Multiple sclerosis: structural and functional integrity of the visual system following alemtuzumab therapy.多发性硬化症:阿仑单抗治疗后视觉系统的结构和功能完整性。
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