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一名接受纳武单抗治疗肾细胞癌的患者同时发生胰腺炎和结肠炎,作为免疫相关不良事件。

The Simultaneous Onset of Pancreatitis and Colitis as Immune-related Adverse Events in a Patient Receiving Nivolumab Treatment for Renal Cell Carcinoma.

作者信息

Yazaki Tomotaka, Moriyama Ichiro, Tobita Hiroshi, Sonoyama Hiroki, Okimoto Eiko, Oka Akihiko, Mishima Yoshiyuki, Oshima Naoki, Shibagaki Kotaro, Kawashima Kousaku, Ishimura Norihisa, Nagami Taichi, Maruyama Riruke, Shiina Hiroaki, Ishihara Shunji

机构信息

Department of Internal Medicine II, Shimane University Faculty of Medicine, Japan.

Division of Hepatology, Shimane University Hospital, Japan.

出版信息

Intern Med. 2022 May 15;61(10):1485-1490. doi: 10.2169/internalmedicine.7911-21. Epub 2021 Nov 6.

Abstract

Immune checkpoint inhibitors (ICIs), which have anti-tumor effects, are currently approved for treatment of several kinds of advanced malignancies. However, with their increasing use, a variety of immune-related adverse events (irAEs) in administered patients have been reported. We herein report a rare case of the simultaneous onset of acute pancreatitis and colitis as irAEs during nivolumab treatment given to a patient with renal cell carcinoma, who then shown marked improvement with corticosteroid therapy.

摘要

免疫检查点抑制剂(ICIs)具有抗肿瘤作用,目前已被批准用于治疗多种晚期恶性肿瘤。然而,随着其使用的增加,已报道接受治疗的患者出现了多种免疫相关不良事件(irAEs)。我们在此报告一例罕见病例,一名肾细胞癌患者在接受纳武单抗治疗期间同时发生急性胰腺炎和结肠炎这两种irAEs,随后经皮质类固醇治疗后症状显著改善。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/698e/9177368/855dc427f59c/1349-7235-61-1485-g001.jpg

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