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糖皮质激素单药治疗他汀类药物诱导的坏死性自身免疫性肌病

Treatment of Statin-Induced Necrotizing Autoimmune Myopathy With Glucocorticoid Monotherapy.

作者信息

Lempel Matthew, Molla Ermal

机构信息

Internal Medicine, Waterbury Hospital, Waterbury, USA.

Rheumatology, Waterbury Hospital, Waterbury, USA.

出版信息

Cureus. 2020 Dec 14;12(12):e12086. doi: 10.7759/cureus.12086.

DOI:10.7759/cureus.12086
PMID:33489504
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7805509/
Abstract

Statins are widely prescribed medications to prevent cardiovascular events such as myocardial infarction and stroke. Both myalgia and myopathy are well-known potential side effects of statins. However, a rare and severe form of statin-induced necrotizing autoimmune myopathy (SINAM) has recently been described and can lead to debilitating weakness, often requiring immunosuppressive therapy. We report a case of a 73-year-old male who made a complete recovery from SINAM following a three-month course of prednisone monotherapy.

摘要

他汀类药物是广泛用于预防心血管事件(如心肌梗死和中风)的处方药。肌痛和肌病都是众所周知的他汀类药物潜在副作用。然而,最近描述了一种罕见且严重的他汀类药物诱导的坏死性自身免疫性肌病(SINAM),它可导致使人衰弱的肌无力,通常需要免疫抑制治疗。我们报告了一例73岁男性患者,在接受三个月的泼尼松单药治疗后,从SINAM中完全康复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/33c6/7805509/24de71c3e72f/cureus-0012-00000012086-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/33c6/7805509/24de71c3e72f/cureus-0012-00000012086-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/33c6/7805509/24de71c3e72f/cureus-0012-00000012086-i01.jpg

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本文引用的文献

1
224th ENMC International Workshop:: Clinico-sero-pathological classification of immune-mediated necrotizing myopathies Zandvoort, The Netherlands, 14-16 October 2016.第224届ENMC国际研讨会:免疫介导性坏死性肌病的临床-血清学-病理学分类,荷兰赞德福特,2016年10月14日至16日。
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Statin-Associated Autoimmune Myopathy: A Systematic Review of 100 Cases.他汀类药物相关自身免疫性肌病:100例病例的系统评价
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Statin-Associated Autoimmune Myopathy.
一名因黑色素瘤切除术和前哨淋巴结活检前来就诊的患者出现免疫介导性肌病。
Cureus. 2022 Mar 2;14(3):e22777. doi: 10.7759/cureus.22777. eCollection 2022 Mar.
他汀类药物相关自身免疫性肌病
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N Engl J Med. 2015 Oct 22;373(17):1680-2. doi: 10.1056/NEJMc1506163.
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Anti-HMGCR autoantibodies in European patients with autoimmune necrotizing myopathies: inconstant exposure to statin.欧洲自身免疫性坏死性肌病患者中的抗HMGCR自身抗体:他汀类药物的非持续暴露
Medicine (Baltimore). 2014 May;93(3):150-157. doi: 10.1097/MD.0000000000000028.
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Progressive myopathy with up-regulation of MHC-I associated with statin therapy.与他汀类药物治疗相关的伴有MHC-I上调的进行性肌病。
Neuromuscul Disord. 2007 Feb;17(2):194-200. doi: 10.1016/j.nmd.2006.10.007. Epub 2007 Jan 22.