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肿瘤治疗主要类型中的免疫反应。

Immune Reactions in Major Types of Oncological Treatment.

机构信息

Student Scientific Group of Adult Allergology, 50-369 Wrocław, Poland.

Clinical Department of Internal Medicine, Pneumology and Allergology, Wroclaw Medical University, 50-369 Wrocław, Poland.

出版信息

Int J Mol Sci. 2023 Jul 9;24(14):11257. doi: 10.3390/ijms241411257.

Abstract

In recent years, there has been a noticeable development in oncological treatment, including chemotherapy and biological treatment. Despite their significant effectiveness, they are not free from side effects, such as allergic and dermatological reactions. These reactions can vary in severity and outcome, including potential death. Examples, among others, are type I-IV hypersensitivity reactions of various origins and skin reactions including rashes, itching and redness, but also severe cutaneous syndromes. Due to the therapy used, these may include Stevens-Johnson syndrome, toxic epidermal necrolysis, drug rash with eosinophilia and systemic symptoms, drug-induced hypersensitivity syndrome and acute generalized exanthematous pustulosis. In some cases, it is necessary to interrupt therapy, which may result in a poorer outcome and shorten the patient's survival. This paper reviews various types of research documents published since 2016. It aims to systematize the latest knowledge and highlight the need for further research into ways to avoid adverse reactions.

摘要

近年来,肿瘤治疗领域取得了显著进展,包括化疗和生物治疗。尽管它们具有显著的疗效,但也并非没有副作用,如过敏和皮肤反应。这些反应的严重程度和结果各不相同,包括潜在的死亡。例如,各种来源的 I-IV 型超敏反应和皮肤反应,包括皮疹、瘙痒和发红,以及严重的皮肤综合征。由于所使用的治疗方法,这些可能包括史蒂文斯-约翰逊综合征、中毒性表皮坏死松解症、伴有嗜酸性粒细胞增多和全身症状的药物疹、药物诱导的超敏反应综合征和急性全身性发疹性脓疱病。在某些情况下,有必要中断治疗,这可能导致更差的结果和缩短患者的生存时间。本文综述了自 2016 年以来发表的各种类型的研究文献。其目的是系统地总结最新知识,并强调需要进一步研究如何避免不良反应。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59b3/10378943/4f4aa18903ac/ijms-24-11257-g001.jpg

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