Isomoto Kohsuke, Baba Tomohisa, Sekine Akimasa, Aiko Naoto, Ogura Takashi
Department of Respiratory Medicine, Kanagawa Cardiovascular and Respiratory Center, Japan.
Department of Medical Oncology, Kindai University Faculty of Medicine, Japan.
Intern Med. 2020 May 1;59(9):1195-1198. doi: 10.2169/internalmedicine.3606-19. Epub 2020 Feb 1.
We herein report a case of refractory chronic eosinophilic pneumonia (CEP) complicated with uncontrolled bronchial asthma, in which remission was successfully induced with single dose of benralizumab, a monoclonal antibody against the alpha-chain of the interleukin-5 receptor. Resolution of the patient's symptoms and consolidation on chest X-ray were observed at 2 weeks and lasted for 8 weeks after the administration of benralizumab. Benralizumab would be a novel alternative choice of treatment for CEP patients who are at risk of potential toxicity due to long-term corticosteroid therapy.
我们在此报告一例难治性慢性嗜酸性粒细胞性肺炎(CEP)合并未控制的支气管哮喘病例,该病例通过单剂量的贝那利珠单抗(一种抗白细胞介素-5受体α链的单克隆抗体)成功诱导缓解。在给予贝那利珠单抗后2周观察到患者症状缓解且胸部X线片显示病灶吸收,并持续了8周。对于因长期使用糖皮质激素治疗而有潜在毒性风险的CEP患者,贝那利珠单抗将是一种新的治疗选择。