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克罗恩病患者抗TNF-α治疗期间的罕见并发症:一例病例报告及文献综述

Rare Complication During Anti-TNF-α Treatment in a Patient with Crohn's Disease: A Case Report and Review of the Literature.

作者信息

Statie Răzvan-Cristian, Florescu Dan Nicolae, Gheonea Dan-Ionuţ, Ciurea Tudorel

机构信息

Gastroenterology Department, University of Medicine and Pharmacy of Craiova, Romania.

出版信息

Curr Health Sci J. 2021 Jan-Mar;47(1):132-138. doi: 10.12865/CHSJ.47.01.22. Epub 2021 Mar 31.

DOI:10.12865/CHSJ.47.01.22
PMID:34211761
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8200608/
Abstract

Crohn's disease represents an inflammatory bowel disease of unknown etiology, with chronic evolution, which may affect any segment of the digestive tract. The main classes of drugs used in patients with inflammatory bowel disease include: aminosalicylates, corticosteroids, immunosuppressants, biological agents and antibiotics. Biological therapy with anti-TNF-α agents offers significant therapeutic benefits, but their use requires caution, as they can also be associated with numerous side effects. We present the case of a female patient known with Crohn's disease, under going biological therapy with adalimumab, who developed a complication, quite rarely described in the literature, possibly as a result of treatment with anti-TNF-α agents.

摘要

克罗恩病是一种病因不明的炎症性肠病,病程呈慢性,可累及消化道的任何节段。用于炎症性肠病患者的主要药物类别包括:氨基水杨酸类、皮质类固醇、免疫抑制剂、生物制剂和抗生素。使用抗TNF-α制剂进行生物治疗可带来显著的治疗益处,但使用时需谨慎,因为它们也可能伴有众多副作用。我们报告一例已知患有克罗恩病的女性患者,正在接受阿达木单抗生物治疗,该患者出现了一种文献中很少描述的并发症,可能是抗TNF-α制剂治疗的结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/22fc/8200608/1c99229070e3/CHSJ-47-01-132-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/22fc/8200608/4915369ec9a8/CHSJ-47-01-132-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/22fc/8200608/1c99229070e3/CHSJ-47-01-132-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/22fc/8200608/4915369ec9a8/CHSJ-47-01-132-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/22fc/8200608/1c99229070e3/CHSJ-47-01-132-fig2.jpg

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本文引用的文献

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Immunology of IL-12: An update on functional activities and implications for disease.白细胞介素-12的免疫学:功能活性及疾病相关性的最新进展
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Review article: managing the adverse events caused by anti-TNF therapy in inflammatory bowel disease.综述:炎症性肠病中抗 TNF 治疗相关不良反应的处理
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Efficacy of Ustekinumab for Inducing Endoscopic Healing in Patients With Crohn's Disease.乌司奴单抗诱导克罗恩病患者内镜下愈合的疗效。
Gastroenterology. 2018 Oct;155(4):1045-1058. doi: 10.1053/j.gastro.2018.06.035. Epub 2018 Aug 29.
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ACG Clinical Guideline: Management of Crohn's Disease in Adults.ACG 临床指南:成人克罗恩病的管理。
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Crohn's disease.克罗恩病。
Med Clin (Barc). 2018 Jul 13;151(1):26-33. doi: 10.1016/j.medcli.2017.10.036. Epub 2017 Dec 13.