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抗肿瘤坏死因子α治疗的一种罕见不良反应:结节病。

A Rare Adverse Effect of Anti-Tumor Necrosis Factor Alpha Therapy: Sarcoidosis.

作者信息

Mengi Gönen, Göğüş Feride

机构信息

Department of Rheumatology, Muğla Sıtkı Koçman University, Education And Research Hospital, Muğla, Turkey.

Department of Physical Medicine and Rehabilitation, Medical Faculty of Gazi University, Ankara, Turkey.

出版信息

Arch Rheumatol. 2017 Feb 12;32(1):67-70. doi: 10.5606/ArchRheumatol.2017.6055. eCollection 2017 Mar.

Abstract

Anti-tumor necrosis factor alpha (anti-TNF-a) therapy has been widely used for the management of rheumatologic diseases. The most frequent adverse effects of anti-TNF-a therapy are infections and malignancies while sarcoidosis is a rare condition. On the other hand, anti-TNF-a therapy has been used in the treatment of sarcoidosis. Elucidation of this paradoxical issue is unclear. In this article, we report an ankylosing spondylitis patient who was diagnosed as sarcoidosis during the period of etanercept usage. Sarcoidosis as a possible adverse effect should be kept in mind during anti-TNF-a therapy.

摘要

抗肿瘤坏死因子α(抗TNF-α)疗法已广泛用于治疗风湿性疾病。抗TNF-α疗法最常见的不良反应是感染和恶性肿瘤,而结节病则是一种罕见病症。另一方面,抗TNF-α疗法已用于结节病的治疗。这种矛盾问题的阐释尚不清楚。在本文中,我们报告了一名强直性脊柱炎患者,该患者在使用依那西普期间被诊断为结节病。在抗TNF-α治疗期间应牢记结节病可能作为一种不良反应。

相似文献

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A Rare Adverse Effect of Anti-Tumor Necrosis Factor Alpha Therapy: Sarcoidosis.抗肿瘤坏死因子α治疗的一种罕见不良反应:结节病。
Arch Rheumatol. 2017 Feb 12;32(1):67-70. doi: 10.5606/ArchRheumatol.2017.6055. eCollection 2017 Mar.

本文引用的文献

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Adverse effects of TNF inhibitors in SpA: are they different from RA?AS 中 TNF 抑制剂的不良反应:与 RA 有何不同?
Best Pract Res Clin Rheumatol. 2014 Oct;28(5):747-63. doi: 10.1016/j.berh.2014.10.001. Epub 2014 Oct 31.
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Paradoxical effects of anti-TNF-α agents in inflammatory diseases.抗TNF-α药物在炎症性疾病中的矛盾效应。
Expert Rev Clin Immunol. 2014 Jan;10(1):159-69. doi: 10.1586/1744666X.2014.866038. Epub 2013 Dec 10.
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Targeting the TNF-alpha pathway in sarcoidosis.靶向结节病中的 TNF-α 通路。
Expert Opin Ther Targets. 2010 Jan;14(1):21-9. doi: 10.1517/14728220903449244.
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Development of sarcoidosis during etanercept therapy.依那西普治疗期间结节病的发生
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