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一例优特克单抗诱发的巩膜葡萄膜炎。

A case of ustekinumab-induced sclerouveitis.

作者信息

Godwin Kristen S, Mathai Mariam, Do Brian K

机构信息

Medstar Georgetown/ Washington Hospital Center Department of Ophthalmology, 110 Irving St NW, Washington, D.C, 20010, USA.

The Retina Group of Washington, 8270 Willow Oaks Corporate Drive, 6th Floor, Fairfax, VA, 22031, USA.

出版信息

Am J Ophthalmol Case Rep. 2022 Jan 31;25:101331. doi: 10.1016/j.ajoc.2022.101331. eCollection 2022 Mar.

DOI:10.1016/j.ajoc.2022.101331
PMID:35146201
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8819278/
Abstract

PURPOSE

Biologics have proven to be essential therapeutic agents in immune-mediated systemic diseases. Ophthalmologic adverse effects have been reported in the use of more traditional agents, such as TNF-α inhibitors, but there are limited data on ocular side effects associated with the newer generation of biologics.

OBSERVATIONS

In this report, we present a case of a suspected ustekinumab-associated recurrent sclerouveitis.

CONCLUSIONS

To the best of our knowledge, this is the first reported case of this type seen with ustekinumab injections. Our goal is to add to the existing literature in order to better understand the mechanism and management of this condition.

摘要

目的

生物制剂已被证明是免疫介导的全身性疾病的重要治疗药物。在使用更传统的药物(如肿瘤坏死因子-α抑制剂)时已报告有眼科不良反应,但关于新一代生物制剂相关眼部副作用的数据有限。

观察结果

在本报告中,我们介绍了一例疑似与优特克单抗相关的复发性巩膜葡萄膜炎病例。

结论

据我们所知,这是首例报道的优特克单抗注射所致此类病例。我们的目标是补充现有文献,以便更好地了解这种情况的机制和管理。

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本文引用的文献

1
Drug-induced uveitis: A review.药物性葡萄膜炎:综述。
Indian J Ophthalmol. 2020 Sep;68(9):1799-1807. doi: 10.4103/ijo.IJO_816_20.
2
A review of ocular adverse events of biological anti-TNF drugs.生物抗TNF药物眼部不良事件综述。
J Ophthalmic Inflamm Infect. 2020 Apr 27;10(1):11. doi: 10.1186/s12348-020-00202-6.
3
Ocular side effects of antirheumatic medications: a qualitative review.抗风湿药物的眼部副作用:一项定性综述
BMJ Open Ophthalmol. 2020 Jan 7;5(1):e000331. doi: 10.1136/bmjophth-2019-000331. eCollection 2020.
4
Paradoxical reactions under TNF-α blocking agents and other biological agents given for chronic immune-mediated diseases: an analytical and comprehensive overview.用于慢性免疫介导疾病的肿瘤坏死因子-α阻断剂及其他生物制剂下的反常反应:分析性与综合性概述
RMD Open. 2016 Jul 15;2(2):e000239. doi: 10.1136/rmdopen-2015-000239. eCollection 2016.
5
The ACCEPT study: ustekinumab versus etanercept in moderate-to-severe psoriasis patients.ACCEPT 研究:乌司奴单抗对比依那西普治疗中重度银屑病患者。
Expert Rev Clin Immunol. 2011 Jan;7(1):9-13. doi: 10.1586/eci.10.92.
6
Review of ustekinumab, an interleukin-12 and interleukin-23 inhibitor used for the treatment of plaque psoriasis.乌司奴单抗治疗斑块状银屑病:一种白介素-12 和白介素-23 抑制剂的综述。
Ther Clin Risk Manag. 2010 Apr 15;6:123-41. doi: 10.2147/tcrm.s5599.
7
Standardization of uveitis nomenclature for reporting clinical data. Results of the First International Workshop.用于报告临床数据的葡萄膜炎命名标准化。第一次国际研讨会的结果。
Am J Ophthalmol. 2005 Sep;140(3):509-16. doi: 10.1016/j.ajo.2005.03.057.