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倍利珠单抗成功治疗伴严重哮喘的复发性嗜酸性粒细胞性肺炎两年随访:病例报告及文献简要回顾

Two years follow-up of relapsing eosinophilic pneumonia with concomitant severe asthma successfully treated with benralizumab: A case report and brief review of the literature.

作者信息

Angeletti G, Mazzolini M, Rocca A

机构信息

Department of Respiratory Medicine, Bellaria Hospital, Bologna, Italy.

出版信息

Respir Med Case Rep. 2022 Dec 13;41:101795. doi: 10.1016/j.rmcr.2022.101795. eCollection 2023.

DOI:10.1016/j.rmcr.2022.101795
PMID:36579077
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9791164/
Abstract

Relapsing eosinophilic pneumonia and severe eosinophilic asthma are rare and disabling diseases, which share common inflammatory backgrounds and often require long-term systemic steroid therapy. Benralizumab is a humanized antibody targeting IL-5 receptor that reduces corticosteroid dependence and flares up in severe eosinophilic asthma on long term. In this case report, successful treatment of eosinophilic pneumonia and severe eosinophilic asthma with benralizumab is described after a 2-year follow up, showing the promising results of this therapy for eosinophilic pneumonia management.

摘要

复发性嗜酸性粒细胞性肺炎和重度嗜酸性粒细胞性哮喘是罕见的致残性疾病,它们具有共同的炎症背景,且常常需要长期的全身性激素治疗。贝那利珠单抗是一种靶向白细胞介素-5受体的人源化抗体,可降低皮质类固醇依赖性,并长期用于重度嗜酸性粒细胞性哮喘的治疗。在本病例报告中,描述了使用贝那利珠单抗对嗜酸性粒细胞性肺炎和重度嗜酸性粒细胞性哮喘进行成功治疗并随访2年的情况,显示了该疗法在嗜酸性粒细胞性肺炎治疗方面的良好前景。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c46/9791164/439d03005774/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c46/9791164/439d03005774/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c46/9791164/439d03005774/gr1.jpg

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本文引用的文献

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Eosinophils in Health and Disease: A State-of-the-Art Review.健康与疾病中的嗜酸性粒细胞:最新综述
Mayo Clin Proc. 2021 Oct;96(10):2694-2707. doi: 10.1016/j.mayocp.2021.04.025. Epub 2021 Sep 15.
2
Benralizumab use in chronic eosinophilic pneumonia with eosinophilic bronchiolitis and chronic airway infection.贝那利珠单抗在伴有嗜酸性细支气管炎和慢性气道感染的慢性嗜酸性粒细胞性肺炎中的应用。
Respirol Case Rep. 2021 Jul 20;9(8):e00810. doi: 10.1002/rcr2.810. eCollection 2021 Aug.
3
Reverse butterfly pattern image with eosinophilia: Effective treatment with benralizumab-A case report.
反向蝶形红斑伴嗜酸性粒细胞增多:贝那利珠单抗治疗有效——病例报告。
Pediatr Pulmonol. 2021 Aug;56(8):2736-2739. doi: 10.1002/ppul.25511. Epub 2021 Jun 2.
4
Relapsing chronic eosinophilic pneumonia treated successfully with benralizumab.使用贝那利珠单抗成功治疗复发性慢性嗜酸性粒细胞性肺炎。
Ann Allergy Asthma Immunol. 2021 Jun;126(6):726-727. doi: 10.1016/j.anai.2021.02.016. Epub 2021 Feb 24.
5
Biologics for the Treatment of Allergic Conditions: Eosinophil Disorders.用于治疗过敏病症的生物制剂:嗜酸性粒细胞疾病。
Immunol Allergy Clin North Am. 2020 Nov;40(4):649-665. doi: 10.1016/j.iac.2020.07.001. Epub 2020 Sep 12.
6
Benralizumab as initial treatment for chronic eosinophilic pneumonia.贝那利珠单抗作为慢性嗜酸性粒细胞性肺炎的初始治疗药物。
Allergol Int. 2021 Jan;70(1):140-142. doi: 10.1016/j.alit.2020.07.005. Epub 2020 Aug 14.
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Respir Med Case Rep. 2020 Apr 22;30:101062. doi: 10.1016/j.rmcr.2020.101062. eCollection 2020.
8
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