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在接受血液透析的患者中,使用抗 IL-12/23 治疗缓解难治性克罗恩病:一例报告。

Remission of refractory Crohn's disease with anti-IL-12/23 therapy in a patient undergoing hemodialysis: A case report.

机构信息

Laboratory of Pharmacology, Faculty of Medicine, Democritus University of Thrace, Alexandroupolis, Greece.

Department of Internal Medicine, University Hospital of Alexandroupolis, Democritus University of Thrace, Alexandroupolis, Greece.

出版信息

Hemodial Int. 2023 Jul;27(3):E41-E44. doi: 10.1111/hdi.13106. Epub 2023 Jun 14.

Abstract

Crohn's disease is a relapsing chronic inflammatory condition of the intestine with increasing prevalence around the world. Biologic therapies are currently widely used and have proved safe and effective in treating moderate to severe Crohn's disease. However, contemporary bibliography contains little information about the use of these drugs in patients with end-stage renal disease undergoing hemodialysis. Here we present a case of a 47-year-old female patient with treatment-refractory Crohn's disease on hemodialysis. In this patient, treatment with the anti-IL-12/23 receptor antibody ustekinumab was effective in inducing and maintaining remission while being safe in administering throughout hemodialysis.

摘要

克罗恩病是一种反复发作的慢性肠道炎症性疾病,在全球的患病率不断增加。生物疗法目前被广泛应用,并已被证明在治疗中重度克罗恩病方面是安全有效的。然而,当代文献中关于这些药物在接受血液透析的终末期肾病患者中的应用信息较少。在这里,我们报告了一例 47 岁女性克罗恩病患者的病例,该患者正在接受血液透析治疗。在该患者中,抗白细胞介素-12/23 受体抗体乌司奴单抗诱导和维持缓解的疗效确切,且在整个血液透析过程中使用是安全的。

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