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度伐利尤单抗诱发重症肌无力加重的一例有趣病例报告

An Interesting Case Report of Myasthenia Gravis Exacerbation Induced by Durvalumab.

作者信息

Abidoye Oluseyi, Kim Nathan, Fombi Jason

机构信息

Internal Medicine, Northeast Georgia Medical Center, Gainesville, USA.

出版信息

Cureus. 2022 Jul 18;14(7):e26985. doi: 10.7759/cureus.26985. eCollection 2022 Jul.

Abstract

Immune checkpoint inhibitors are novel therapy for a wide range of malignancies. They have been associated with numerous side effects resulting in pulmonary, dermatological, gastrointestinal, and neurological complications. There are few reported cases of myasthenia gravis exacerbation from immune checkpoint inhibitors. We present a case of an 82-year-old woman with a history of myasthenia gravis in remission and non-small cell lung cancer who presented with diplopia, dyspnea, and generalized weakness after three cycles of durvalumab. She was diagnosed with a myasthenic crisis and was treated with high-dose steroids and plasmapheresis.

摘要

免疫检查点抑制剂是治疗多种恶性肿瘤的新型疗法。它们与许多副作用相关,可导致肺部、皮肤、胃肠道和神经并发症。免疫检查点抑制剂导致重症肌无力加重的报道病例很少。我们报告一例82岁女性患者,有重症肌无力缓解病史和非小细胞肺癌,在接受三个周期的度伐利尤单抗治疗后出现复视、呼吸困难和全身无力。她被诊断为重症肌无力危象,并接受了大剂量类固醇和血浆置换治疗。

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