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肾病综合征患者应用利妥昔单抗治疗后发生低钾血症:两例报告。

Hypokalemia after rituximab administration in nephrotic syndrome: two case reports.

机构信息

Department of Nephrology, Qilu Hospital of Shandong University, No. 107 Wenhua West Road, 250000, Jinan, Shandong, PR China.

出版信息

BMC Nephrol. 2023 Jul 18;24(1):214. doi: 10.1186/s12882-023-03079-4.

DOI:10.1186/s12882-023-03079-4
PMID:37464309
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10354934/
Abstract

Rituximab, a chimeric anti-CD20 monoclonal antibody, is an effective treatment for nephrotic syndrome. Hypokalemia is a rare adverse reaction among patients treated with rituximab although there have been extensive reports of acute and chronic adverse events with the administration of rituximab. We herein report two cases of symptomatic hypokalemia after intravenous rituximab administration in our center, to help health professionals consider the possibility of acute hypokalemia after rituximab administration, monitor potassium timely and develop an appropriate treatment plan.

摘要

利妥昔单抗,一种嵌合抗 CD20 单克隆抗体,是治疗肾病综合征的有效药物。尽管利妥昔单抗的使用有广泛的急性和慢性不良反应的报道,但低钾血症是接受利妥昔单抗治疗的患者中罕见的不良反应。在此,我们报告了两例在我们中心接受静脉注射利妥昔单抗后出现症状性低钾血症的病例,以帮助医务人员在利妥昔单抗治疗后考虑急性低钾血症的可能性,及时监测钾水平并制定适当的治疗方案。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e984/10354934/cd45e3b2d2d3/12882_2023_3079_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e984/10354934/42586b733248/12882_2023_3079_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e984/10354934/cd45e3b2d2d3/12882_2023_3079_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e984/10354934/42586b733248/12882_2023_3079_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e984/10354934/cd45e3b2d2d3/12882_2023_3079_Fig2_HTML.jpg

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Advances in the Management of Primary Membranous Nephropathy and Rituximab-Refractory Membranous Nephropathy.原发性膜性肾病及其对利妥昔单抗耐药的治疗进展。
Front Immunol. 2022 May 4;13:859419. doi: 10.3389/fimmu.2022.859419. eCollection 2022.
2
Membranous nephropathy.膜性肾病。
Nat Rev Dis Primers. 2021 Sep 30;7(1):69. doi: 10.1038/s41572-021-00303-z.
3
KDIGO 2021 Clinical Practice Guideline for the Management of Glomerular Diseases.KDIGO 2021肾小球疾病管理临床实践指南。
分析异维 A 酸引起的血浆微量元素水平变化:研究镁、磷、钾、锌与治疗相关副作用之间的关系。
Biol Trace Elem Res. 2024 Nov;202(11):4858-4868. doi: 10.1007/s12011-023-04053-9. Epub 2024 Jan 10.
Kidney Int. 2021 Oct;100(4S):S1-S276. doi: 10.1016/j.kint.2021.05.021.
4
Hypokalemia After Rituximab Administration in Steroid-Dependent Nephrotic Syndrome: A Case Report.利妥昔单抗治疗依赖类固醇的肾病综合征后出现低钾血症:一例报告
Front Pharmacol. 2020 Jun 17;11:915. doi: 10.3389/fphar.2020.00915. eCollection 2020.
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Electrolyte Disorders Induced by Antineoplastic Drugs.抗肿瘤药物引起的电解质紊乱
Front Oncol. 2020 May 19;10:779. doi: 10.3389/fonc.2020.00779. eCollection 2020.
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