Department of Gastroenterology and Hepatology, Radboud University Medical Centre, Nijmegen, The Netherlands.
Section of Paediatric Infectious Diseases, Laboratory of Medical Immunology, Radboud Institute for Molecular Life Sciences, Nijmegen, The Netherlands.
J Crohns Colitis. 2021 Jan 13;15(1):162-164. doi: 10.1093/ecco-jcc/jjaa115.
Recently, ustekinumab has been approved for the treatment of Crohn's disease and ulcerative colitis. Treatment is started with an intravenous induction dose, followed by a subcutaneous dosage. We present details of three patients with therapy-refractory Crohn's disease who experienced an immediate infusion reaction to intravenous administration of ustekinumab. In two of these patients a subsequent reaction to subcutaneous injections occurred. Clinical features and pathophysiology are discussed.
最近,乌司奴单抗已被批准用于治疗克罗恩病和溃疡性结肠炎。治疗开始时采用静脉输注诱导剂量,随后采用皮下剂量。我们介绍了 3 例对静脉注射乌司奴单抗治疗有反应的难治性克罗恩病患者的详细情况。其中 2 例患者随后对皮下注射也有反应。讨论了其临床特征和病理生理学。