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这位患有罕见白血病的患者怎么了?

What Is Happening to This Patient With a Rare Leukemia?

作者信息

Ndje Amandine, Broadway-Duren Jacqueline B

机构信息

The University of Texas MD Anderson Cancer Center, Houston, Texas.

出版信息

J Adv Pract Oncol. 2022 Nov;13(8):822-826. doi: 10.6004/jadpro.2022.13.8.9. Epub 2022 Nov 1.

DOI:10.6004/jadpro.2022.13.8.9
PMID:36727022
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9881734/
Abstract

Blastic plasmacytoid dendritic cell neoplasm (BPDCN) is a rare cancer with primary sites in the skin and bone marrow and secondary sites in the lymph nodes, spleen, and central nervous system. First described in the 1990s, these cells express a CD123 antigen hinting at a plasmacytoid dendritic cell origin. A CD123-directed cytotoxin called SL-401 was approved by the US Food and Drug Administration and the European Medicines Agency. During BPDCN treatment, a life-threatening syndrome can occur, but early awareness leads to positive patient outcomes.

摘要

母细胞性浆细胞样树突状细胞肿瘤(BPDCN)是一种罕见的癌症,原发部位在皮肤和骨髓,继发部位在淋巴结、脾脏和中枢神经系统。20世纪90年代首次被描述,这些细胞表达CD123抗原,提示其起源于浆细胞样树突状细胞。一种名为SL-401的靶向CD123的细胞毒素已获美国食品药品监督管理局和欧洲药品管理局批准。在BPDCN治疗期间,可能会出现危及生命的综合征,但早期识别可带来积极的患者预后。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/883c/9881734/b69ec31a20c0/jadpro-13-822-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/883c/9881734/b69ec31a20c0/jadpro-13-822-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/883c/9881734/b69ec31a20c0/jadpro-13-822-g001.jpg

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本文引用的文献

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Successful Treatment of Pembrolizumab-Induced Severe Capillary Leak Syndrome and Lymphatic Capillary Dysfunction.帕博利珠单抗诱发的严重毛细血管渗漏综合征及淋巴管毛细血管功能障碍的成功治疗
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Nivolumab-induced systemic capillary leak syndrome as an ultra rare life-threatening phenomenon of late toxicity and intravenous immunoglobulin efficacy.纳武单抗引起的全身性毛细血管渗漏综合征是一种极其罕见的、危及生命的晚期毒性现象及静脉注射免疫球蛋白的疗效。
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Capillary-leak syndrome: an unrecognized early immune adverse effect of checkpoint-inhibitors treatment.
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6
Incidence of Capillary Leak Syndrome as an Adverse Effect of Drugs in Cancer Patients: A Systematic Review and Meta-Analysis.癌症患者中作为药物不良反应的毛细血管渗漏综合征的发生率:一项系统评价和荟萃分析。
J Clin Med. 2019 Jan 26;8(2):143. doi: 10.3390/jcm8020143.
7
Systemic Capillary Leak Syndrome (Clarkson Syndrome) in Cancer Patients: A Systematic Review.癌症患者的系统性毛细血管渗漏综合征(克拉克森综合征):一项系统综述。
J Clin Med. 2018 Nov 6;7(11):418. doi: 10.3390/jcm7110418.
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Characterizing drug-induced capillary leak syndromes using the World Health Organization VigiBase.利用世界卫生组织药物不良反应数据库对药物性毛细血管渗漏综合征进行特征分析。
J Allergy Clin Immunol. 2019 Jan;143(1):433-436. doi: 10.1016/j.jaci.2018.09.001. Epub 2018 Sep 20.
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Capillary leak syndrome in neuromyelitis optica treated with rituximab.利妥昔单抗治疗视神经脊髓炎中的毛细血管渗漏综合征。
Mult Scler Relat Disord. 2017 Aug;16:22-23. doi: 10.1016/j.msard.2017.06.001. Epub 2017 Jun 6.
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Capillary leak syndrome: etiologies, pathophysiology, and management.毛细血管渗漏综合征:病因、病理生理学和治疗。
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