Hospital for Special Surgery, Weill Cornell Medicine, New York, NY, USA.
Hospital for Special Surgery, Weill Cornell Medicine, New York, NY, USA.
Med Clin North Am. 2021 Mar;105(2):227-245. doi: 10.1016/j.mcna.2020.09.009.
Immune checkpoint inhibitors activate the immune system to combat cancer. In doing so, however, they can cause immune-related adverse events (irAEs), including rheumatic syndromes, such as inflammatory arthritis, polymyalgia rheumatica, and myositis. This article reviews rheumatic irAEs that may be encountered in the general medicine practice and provides guidance to support prompt recognition, referral, and treatment of these patients.
免疫检查点抑制剂激活免疫系统以对抗癌症。然而,这样做会导致免疫相关不良反应(irAEs),包括风湿综合征,如炎性关节炎、巨细胞动脉炎和肌炎。本文综述了在一般医学实践中可能遇到的风湿免疫相关不良反应,并提供了指导意见,以支持这些患者的及时识别、转介和治疗。