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阿仑单抗诱导的斑秃——阿仑单抗相关不良事件的病例报告及系统文献复习。

Alemtuzumab-induced Alopecia areata - a case report and systematic literature review of adverse events associated with Alemtuzumab.

机构信息

Klinik für Hautkrankheiten, Universitätsklinikum Münster [Dermatology clinic, University Hospital Münster, Germany.

出版信息

J Dtsch Dermatol Ges. 2021 Aug;19(8):1159-1163. doi: 10.1111/ddg.14448. Epub 2021 May 10.

Abstract

Alemtuzumab is currently approved for the treatment of active relapsing-remitting multiple sclerosis (RRMS). Despite the efficacy of this therapy several side effects in the skin have been noted during or after infusion including vitiligo, alopecia areata, malignant skin tumors and infections. Awareness of these effects and their treatment is of essential interdisciplinary importance. This minireview provides an overview of the dermatological side effects described in the current literature. We also suggest pathomechanisms underlying these phenomena. To introduce this review, we present the case of a woman with RRMS who developed severe alopecia areata for the first time on alemtuzumab.

摘要

阿仑单抗目前被批准用于治疗活跃的复发缓解型多发性硬化症(RRMS)。尽管这种治疗方法有效,但在输注过程中或输注后已经注意到皮肤有几种副作用,包括白癜风、斑秃、恶性皮肤肿瘤和感染。了解这些影响及其治疗方法对于跨学科至关重要。这篇迷你综述概述了当前文献中描述的皮肤科副作用。我们还提出了这些现象背后的发病机制。为了介绍这篇综述,我们介绍了一名 RRMS 女性的病例,她在接受阿仑单抗治疗后首次出现严重的斑秃。

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