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一例与纳武利尤单抗和伊匹木单抗联合免疫治疗相关的免疫介导性肺炎病例。

A Case of Immune-Mediated Pneumonitis Associated With Dual Nivolumab and Ipilimumab Immunotherapy Treatment.

作者信息

Al-Saghir Tala, Suleiman Noor, Goodman Benjamin D, Ferguson Michael W, Tejwani Sheela

机构信息

Internal Medicine, Henry Ford Health System, Detroit, USA.

Medical Oncology, Henry Ford Health System, Detroit, USA.

出版信息

Cureus. 2023 Jun 22;15(6):e40792. doi: 10.7759/cureus.40792. eCollection 2023 Jun.

Abstract

Nivolumab and ipilimumab are immunotherapy agents used in combination to treat metastatic melanoma and have proven to be efficacious. However, they have been linked to the development of immune-mediated inflammatory processes in various organ systems and tissues, including immune-mediated pneumonitis (IMP). This case report describes a 50-year-old female patient with metastatic melanoma who was treated with nivolumab and ipilimumab therapy and developed IMP as a complication. Despite treatment with steroids and infliximab, the patient's condition worsened, and she passed away due to respiratory compromise. This report emphasizes the potential for serious complications in patients receiving combination immunotherapy and highlights the importance of close monitoring and risk stratification, particularly in patients with underlying lung conditions.

摘要

纳武单抗和伊匹单抗是联合用于治疗转移性黑色素瘤的免疫治疗药物,已被证明有效。然而,它们与包括免疫介导性肺炎(IMP)在内的各种器官系统和组织中免疫介导的炎症过程的发生有关。本病例报告描述了一名50岁的转移性黑色素瘤女性患者,接受纳武单抗和伊匹单抗治疗后发生IMP并发症。尽管使用了类固醇和英夫利昔单抗治疗,患者的病情仍恶化,最终因呼吸功能不全去世。本报告强调了接受联合免疫治疗的患者发生严重并发症的可能性,并突出了密切监测和风险分层的重要性,尤其是对于有潜在肺部疾病的患者。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c55/10362781/f3b1ae20e8ab/cureus-0015-00000040792-i01.jpg

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