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抗程序化细胞死亡蛋白-1 治疗导致原有白癜风的非小细胞肺癌患者色素脱失加重:病例报告。

Aggravation of depigmentation for a non-small-cell lung cancer patient with pre-existing vitiligo using anti-programmed cell death-1 therapy: case report.

机构信息

Cancer Center, The First Hospital of Jilin University, Changchun, Jilin 130021, China.

Dermatological Department, The First Hospital of Jilin University, Changchun, Jilin 130021, China.

出版信息

Immunotherapy. 2020 Feb;12(3):175-181. doi: 10.2217/imt-2019-0090. Epub 2020 Feb 17.

Abstract

Immune checkpoint inhibitors can enhance the antitumor activity of the immune system by mainly promoting CD8 T lymphocyte immune function. However, they can also induce immune-related adverse events, especially skin toxicity. Some studies found that patients with autoimmune or inflammatory disease are susceptible to immune checkpoint inhibitors and were associated with a significantly increased risk of immune-related adverse events. In our present report, we described a newly diagnosed non-small-cell lung cancer patient who suffered from focal vitiligo for approximately ten years and was treated with the anti-programmed cell death-1 receptor antibody camrelizumab (SHR-1210), which accelerated the aggravation of depigmentation of the skin over the whole body in just half a year.

摘要

免疫检查点抑制剂主要通过促进 CD8 T 淋巴细胞免疫功能来增强免疫系统的抗肿瘤活性。然而,它们也会引起免疫相关的不良反应,特别是皮肤毒性。一些研究发现,自身免疫或炎症性疾病患者易发生免疫检查点抑制剂相关不良反应,且发生风险显著增加。在我们目前的报告中,我们描述了一位新诊断的非小细胞肺癌患者,他大约十年前患有局限性白癜风,接受了抗程序性死亡受体 1 抗体 camrelizumab(SHR-1210)治疗,仅仅半年时间就加速了全身皮肤色素脱失的恶化。

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