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免疫检查点疗法诱导的心肌炎和脑炎并发完全性房室传导阻滞:并非全无希望。

Checkpoint Immunotherapy-Induced Myocarditis and Encephalitis Complicated With Complete AV Block: Not All Hope Is Lost.

作者信息

Lorente-Ros Álvaro, Rajjoub-Al-Mahdi Ez-Alddin, Monteagudo Ruiz Juan M, Rivas García Sonia, Ortega Pérez Rodrigo, Fernández Golfín Covadonga, Álvarez-García Jesús, Zamorano Gómez José L

机构信息

Cardiology Department, Hospital Universitario Ramon y Cajal, Madrid, Spain.

Centro de Investigación Biomédica en Red, CIBER Cardiovascular, Madrid, Spain.

出版信息

JACC Case Rep. 2022 Aug 17;4(16):1032-1036. doi: 10.1016/j.jaccas.2022.04.020.

Abstract

Immune checkpoint inhibitors are associated with a myriad of autoimmune adverse events. We present a 70-year-old patient with renal-cell carcinoma treated with nivolumab/ipilimumab complicated with myocarditis and encephalitis in which gradual impairment of the His-Purkinje system progressed to complete atrioventricular block. Full recovery was achieved after treatment with corticosteroids and immunoglobulins. ().

摘要

免疫检查点抑制剂与多种自身免疫性不良事件相关。我们报告一名70岁肾细胞癌患者,接受纳武单抗/伊匹单抗治疗后并发心肌炎和脑炎,希氏-浦肯野系统逐渐受损,进展为完全性房室传导阻滞。经皮质类固醇和免疫球蛋白治疗后完全康复。()

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6374/9434642/8c587ed78594/fx1.jpg

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