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帕博利珠单抗相关性重度黏膜炎:两例报告、文献复习及治疗方案算法。

Severe Mucositis Secondary to Pembrolizumab: Reports of Two Cases, Review of the Literature, and an Algorithm for Management.

机构信息

Resident, Department of Oral and Maxillofacial Surgery, Temple University, Former Non-Categorical Intern University of Washington, Seattle, WA.

Acting Assistant Professor, Division of Dermatology, Department of Medicine, University of Washington, Seattle, WA.

出版信息

J Oral Maxillofac Surg. 2021 Jun;79(6):1262-1269. doi: 10.1016/j.joms.2020.11.023. Epub 2020 Nov 30.

Abstract

The indications for use of programed cell death receptor (PD-1) inhibitors to treat cancer continues to expand rapidly. Treatment with PD-1 inhibitors has been associated with numerous immune-mediated mucocutaneous side effects. Here, we report 2 cases of severe mucositis caused by the PD-1 inhibitor pembrolizumab and review the defining features of similar cases. Recognition of mucocutaneous toxicities of PD-1 inhibitors is increasingly important as their use continues to expand. A stepwise approach to diagnosis and management is also reviewed.

摘要

程序性细胞死亡受体(PD-1)抑制剂用于治疗癌症的适应证不断迅速扩大。PD-1 抑制剂的治疗与许多免疫介导的黏膜皮肤副作用相关。在这里,我们报告了 2 例由 PD-1 抑制剂派姆单抗引起的严重黏膜炎病例,并回顾了类似病例的特征。随着 PD-1 抑制剂的使用不断扩大,识别其黏膜皮肤毒性变得越来越重要。还回顾了诊断和管理的逐步方法。

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