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达沙替尼治疗超过5年后引发的乳糜胸:真的存在限度吗?

Dasatinib-Induced Chylothorax Beyond 5 Years of Treatment: Is There Actually Any Limit?

作者信息

Garcia-Zamalloa Alberto, Basauri Begoña, Urcelay Goretti, Sainz Adriana

机构信息

Internal Medicine Service, Mendaro Hospital, Osakidetza/Basque Health Service, Gipuzkoa, Spain.

Pleural-Respiratory Research Unit, Biodonostia Health Research Institute, Gipuzkoa, Spain.

出版信息

Eur J Case Rep Intern Med. 2023 Jun 7;10(7):003921. doi: 10.12890/2023_003921. eCollection 2023.

DOI:10.12890/2023_003921
PMID:37455693
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10348434/
Abstract

UNLABELLED

Dasatinib is a tyrosine kinase inhibitor used for treatment of some specific types of leukaemia. The development of pleural effusion is a known adverse effect of dasatinib and chylothorax is exceptional. No case has been reported beyond 5 years of treatment and extensive search for an alternative diagnosis is currently suggested in such scenario. The underlying mechanism is not currently clear. We describe a woman on dasatinib treatment for more than 10 years who developed chylothorax. Drug withdrawal resolved the chylous pleural effusion. We were able to find 14 additional cases of dasatinib-related chylothorax reported up until now.

LEARNING POINTS

Dasatinib is a tyrosine kinase inhibitor used for the treatment of some specific types of leukaemia.Development of pleural effusion is a potential adverse effect, mostly in the first 6 years of treatment. The underlying mechanism is not known.Chylothorax is exceptional, and no case had been described beyond 5 years of treatment; our case would be the first one. We found 14 additional cases of dasatinib-related chylothoraces in a PubMed research.

摘要

未标注

达沙替尼是一种用于治疗某些特定类型白血病的酪氨酸激酶抑制剂。胸腔积液的发生是达沙替尼已知的不良反应,而乳糜胸则较为罕见。治疗超过5年的病例尚未见报道,目前在这种情况下建议广泛寻找其他诊断方法。其潜在机制目前尚不清楚。我们描述了一名接受达沙替尼治疗超过10年的女性,她出现了乳糜胸。停药后乳糜性胸腔积液得以缓解。截至目前,我们还能找到另外14例已报道的与达沙替尼相关的乳糜胸病例。

学习要点

达沙替尼是一种用于治疗某些特定类型白血病的酪氨酸激酶抑制剂。胸腔积液的发生是一种潜在的不良反应,主要发生在治疗的前6年。其潜在机制尚不清楚。乳糜胸较为罕见,治疗超过5年的病例未见描述;我们的病例将是首例。我们在PubMed研究中又发现了14例与达沙替尼相关的乳糜胸病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbb9/10348434/6812044acb85/3921_Fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbb9/10348434/219940d8ab80/3921_Fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbb9/10348434/6812044acb85/3921_Fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbb9/10348434/219940d8ab80/3921_Fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbb9/10348434/6812044acb85/3921_Fig2.jpg

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2
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.
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Pazopanib-induced chylothorax in a patient with renal cell carcinoma.
帕唑帕尼致肾细胞癌患者乳糜胸。
Anticancer Drugs. 2022 Jan 1;33(1):e555-e557. doi: 10.1097/CAD.0000000000001172.
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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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Dasatinib increases endothelial permeability leading to pleural effusion.达沙替尼可增加血管内皮通透性,导致胸腔积液。
Eur Respir J. 2018 Jan 18;51(1). doi: 10.1183/13993003.01096-2017. Print 2018 Jan.
6
Pleural Effusion in Dasatinib-Treated Patients With Chronic Myeloid Leukemia in Chronic Phase: Identification and Management.达沙替尼治疗的慢性期慢性髓性白血病患者的胸腔积液:识别与管理
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