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成功使用 benralizumab 治疗嗜酸性肉芽肿性多血管炎伴嗜酸性粒细胞性心肌炎。

Successful benralizumab for eosinophilic myocarditis in eosinophilic granulomatosis with polyangiitis.

机构信息

Department of Internal Medicine, Groupe Hospitalier Sud Ile de France, Melun, France.

Department of Radiology, Groupe Hospitalier Sud Ile de France, Melun, France.

出版信息

Clin Exp Rheumatol. 2021 Oct;40(4):834-837. doi: 10.55563/clinexprheumatol/ahyqld. Epub 2022 May 4.

Abstract

Eosinophilic granulomatosis with polyangiitis (EGPA) is characterised by many features, including asthma, allergic rhinitis, peripheral and tissue eosinophilia, and vasculitis. Its pathophysiology is still unclear and we suggest that there are different phenotypes of EGPA, which may respond differently to available treatments. Within the most promising targeting biotherapy, benralizumab, an anti-interleukin-5 receptor alpha monoclonal antibody, has proved both highly effective and safe. We report herewith a case of EGPA presenting a myocarditis relapse successfully treated with benralizumab.

摘要

嗜酸性肉芽肿伴多血管炎(EGPA)的特征包括哮喘、变应性鼻炎、外周和组织嗜酸性粒细胞增多和血管炎。其病理生理学仍不清楚,我们建议 EGPA 存在不同的表型,可能对现有治疗方法的反应不同。在最有前途的靶向生物治疗中,抗白细胞介素-5 受体α单克隆抗体 benralizumab 已被证明既高度有效又安全。我们在此报告一例 EGPA 合并心肌炎复发,经 benralizumab 治疗成功。

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