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早期恢复性肉芽肿性肺炎与血清阴性脊柱关节病中使用依那西普相关:病例报告

Early instauration granulomatous pneumonitis associated with use of etanercept in seronegative spondyloarthropathy: Case report.

作者信息

Fernández-Trujillo Liliana, Iriarte María B, Puerta Germán, Morales Eliana I, Sua Luz F, Cañas Carlos A

机构信息

Department of Internal Medicine, Pulmonology Service, Interventional Pulmonology, Fundación Valle del Lili, Cali, Colombia.

Faculty of Health Sciences, Universidad Icesi. Cali, Colombia.

出版信息

Respir Med Case Rep. 2020 May 18;30:101079. doi: 10.1016/j.rmcr.2020.101079. eCollection 2020.

Abstract

Spondyloarthropathies are a group of chronic inflammatory disorders that involve the joints of the axial skeleton, peripheral joints and have extra-articular manifestations. Treatment includes inhibitors of tumor necrosis factor α. Currently there are five approved inhibitors: a soluble receptor, Etanercept and four monoclonal. Etanercept has very low toxicity with pulmonary adverse reactions being very rare. We present the case of a patient who developed respiratory symptoms and pulmonary infiltrates of rapid evolution after the third dose of treatment with Etanercept.

摘要

脊柱关节病是一组慢性炎症性疾病,累及中轴骨骼关节、外周关节并伴有关节外表现。治疗包括肿瘤坏死因子α抑制剂。目前有五种获批的抑制剂:一种可溶性受体依那西普和四种单克隆抗体。依那西普毒性极低,肺部不良反应非常罕见。我们报告一例患者,在接受第三剂依那西普治疗后迅速出现呼吸道症状和肺部浸润。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/591d/7248675/ad3e1c3bca93/gr1.jpg

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