Fernández-Trujillo Liliana, Iriarte María B, Puerta Germán, Morales Eliana I, Sua Luz F, Cañas Carlos A
Department of Internal Medicine, Pulmonology Service, Interventional Pulmonology, Fundación Valle del Lili, Cali, Colombia.
Faculty of Health Sciences, Universidad Icesi. Cali, Colombia.
Respir Med Case Rep. 2020 May 18;30:101079. doi: 10.1016/j.rmcr.2020.101079. eCollection 2020.
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.
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。