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尼洛替尼诱发慢性粒细胞白血病患者出现象皮病样银屑病:一例罕见病例报告及文献综述

Nilotinib-Induced Elephantine Psoriasis In a Patient With Chronic Myeloid Leukemia: A Rare Case Report and Literature Review.

作者信息

Sadatmadani Seyedeh Fatemeh, Malakoutikhah Zahra, Mohaghegh Fatemeh, Peikar Mohammadsaleh, Saboktakin Mahdi

机构信息

Medical Doctor, Skin Disease and Leishmaniasis Research Center, Department of Dermatology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.

Medical Doctor, Applied Physiology Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

Curr Ther Res Clin Exp. 2022 Jun 3;96:100676. doi: 10.1016/j.curtheres.2022.100676. eCollection 2022.

Abstract

Tyrosine kinase inhibitors are anticancer drugs that disrupt signal transduction pathways in protein kinases by different mechanisms. This group of pharmacologic agents has significantly improved the outcome of patients with chronic myeloid leukemia. However, their effect is not limited to cancer cells, and various complications, particularly cutaneous reactions, have been reported. We report a very rare case of a 35-year-old female with a history of chronic myeloid leukemia who presented with elephantine psoriasis after the treatment with nilotinib. Conclusions: This case highlights a critical side effect of tyrosine kinase inhibitors. Awareness of this subject can be useful for better management of similar patients.

摘要

酪氨酸激酶抑制剂是一类抗癌药物,可通过不同机制干扰蛋白激酶中的信号转导通路。这类药物显著改善了慢性髓性白血病患者的治疗效果。然而,其作用并不局限于癌细胞,并且已报道了各种并发症,尤其是皮肤反应。我们报告了一例非常罕见的病例,一名35岁有慢性髓性白血病病史的女性在接受尼洛替尼治疗后出现了象皮病样银屑病。结论:该病例突出了酪氨酸激酶抑制剂的一种严重副作用。了解这一情况有助于更好地管理类似患者。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2140/9249592/b0d0391b07dc/gr1.jpg

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