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达沙替尼诱发的乳糜胸:临床检验视角

Dasatinib-Induced Chylothorax: A Clinical Laboratory's Perspective.

作者信息

Martínez Rafael J García, Gea Clara Sanz, Martin-Riera Víctor, Ruiz Armando Raúl Guerra, Barzanti Rosanna Paciucci, Ferrer-Costa Roser, Ramirez-Serra Clara

机构信息

Clinical Analysis Department, Marqués de Valdecilla University Hospital, Santander, Spain.

Evidence-Based Laboratory Medicine Commission, Spanish Society of Laboratory Medicine (SEQCML), Barcelona, España.

出版信息

EJIFCC. 2023 Apr 18;34(1):76-80. eCollection 2023 Apr.

PMID:37124659
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10131239/
Abstract

Dasatinib is a tyrosine kinase inhibitor drug used for chronic myeloid leukaemia (CML) treatment. Chylothorax has been rarely reported as a secondary effect of dasatinib occurring especially in long-term treated patients, although its pathophysiology is not yet fully understood. Laboratory analysis of the pleural effusion is crucial for chylothorax diagnosis. We report a case of a 53-year-old male patient presenting a chylothorax after 14 years of dasatinib therapy where the clinical laboratory was key in the diagnosis.

摘要

达沙替尼是一种用于治疗慢性髓性白血病(CML)的酪氨酸激酶抑制剂药物。乳糜胸作为达沙替尼的一种罕见的副作用,尤其在长期治疗的患者中出现,尽管其病理生理学尚未完全明确。胸腔积液的实验室分析对于乳糜胸的诊断至关重要。我们报告了一例53岁男性患者,在接受达沙替尼治疗14年后出现乳糜胸,其中临床实验室检查对诊断起到了关键作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b1bc/10131239/19f785034704/ejifcc-34-076-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b1bc/10131239/e704dfbcba47/ejifcc-34-076-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b1bc/10131239/19f785034704/ejifcc-34-076-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b1bc/10131239/e704dfbcba47/ejifcc-34-076-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b1bc/10131239/19f785034704/ejifcc-34-076-g002.jpg

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本文引用的文献

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Dasatinib-induced chylothorax: An unusual presentation of a common adverse event-A case report with literature review.达沙替尼引起的乳糜胸:一种常见不良事件的罕见表现——一例病例报告并文献复习
EJHaem. 2021 May 18;2(3):545-550. doi: 10.1002/jha2.226. eCollection 2021 Aug.
2
Chronic Myeloid Leukemia: A Model Disease of the Past, Present and Future.慢性髓性白血病:过去、现在和未来的典范疾病。
Cells. 2021 Jan 10;10(1):117. doi: 10.3390/cells10010117.
3
Chylothorax: complication attributed to dasatinib use.乳糜胸:一种归因于使用达沙替尼的并发症。
BMJ Case Rep. 2019 Dec 16;12(12):e231653. doi: 10.1136/bcr-2019-231653.
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Clinical approach and review of causes of a chylothorax.乳糜胸的临床处理方法及病因分析。
Respir Med. 2019 Oct;157:7-13. doi: 10.1016/j.rmed.2019.08.014. Epub 2019 Aug 22.
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Dasatinib-induced pleural effusion: Chylothorax, an option to consider.达沙替尼引起的胸腔积液:乳糜胸,一种需要考虑的情况。
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Dasatinib-related chylothorax.达沙替尼相关的乳糜胸。
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Chylothorax: aetiology, diagnosis and therapeutic options.乳糜胸:病因、诊断和治疗选择。
Respir Med. 2010 Jan;104(1):1-8. doi: 10.1016/j.rmed.2009.08.010. Epub 2009 Sep 18.
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