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度拉糖肽引发的大疱性类天疱疮:一例病例报告及文献综述

Bullous pemphigoid triggered by dulaglutide: a case report and a review of the literature.

作者信息

Sonego Benedetta, Zelin Enrico, Zalaudek Iris, di Meo Nicola

机构信息

Dermatology Clinic of Trieste, Maggiore Hospital, University of Trieste, Italy.

出版信息

Dermatol Reports. 2023 Jun 6;15(3):9676. doi: 10.4081/dr.2023.9676. eCollection 2023 Sep 12.

DOI:10.4081/dr.2023.9676
PMID:37822982
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10563024/
Abstract

Bullous pemphigoid (BP) is an autoimmune disease with a chronic relapsing course, predominantly affecting elderly people. Drugs are one of the possible triggers. A class of antidiabetic drugs often associated with the development of BP are inhibitors of dipeptidyl peptidase 4 (DPP-4 inhibitors or gliptins), while less known is the association with glucagon-like-peptide-1 receptor agonists. We describe a case of BP caused by dulaglutide and summarize the other few cases described in the literature. As a class of drugs widely used in clinical practice, it is important to know about this possible adverse event.

摘要

大疱性类天疱疮(BP)是一种具有慢性复发病程的自身免疫性疾病,主要影响老年人。药物是可能的诱发因素之一。一类常与BP发生相关的抗糖尿病药物是二肽基肽酶4抑制剂(DPP-4抑制剂或格列汀类药物),而与胰高血糖素样肽-1受体激动剂的关联则鲜为人知。我们报告一例由度拉糖肽引起的BP病例,并总结文献中描述的其他少数病例。作为一类在临床实践中广泛使用的药物,了解这种可能的不良事件很重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7cb5/10563024/2ea908f81450/dr-15-3-9676-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7cb5/10563024/2ea908f81450/dr-15-3-9676-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7cb5/10563024/2ea908f81450/dr-15-3-9676-g001.jpg

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本文引用的文献

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JAAD Case Rep. 2021 Aug 5;15:107-109. doi: 10.1016/j.jdcr.2021.07.027. eCollection 2021 Sep.
2
Bullous Pemphigoid Triggered by Liraglutide.利拉鲁肽引发的大疱性类天疱疮。
Cutis. 2021 May;107(5):E9-E11. doi: 10.12788/cutis.0262.
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Bullous Pemphigoid: Trigger and Predisposing Factors.大疱性类天疱疮:触发因素和易感因素。
J Clin Aesthet Dermatol. 2025 Mar;18(3):42-50.
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The first description of mucous membrane pemphigoid induced by enalapril maleate: a case report.马来酸依那普利引起的黏膜性类天疱疮的首次描述:一例报告。
BMC Oral Health. 2024 Sep 16;24(1):1096. doi: 10.1186/s12903-024-04865-8.
Biomolecules. 2020 Oct 10;10(10):1432. doi: 10.3390/biom10101432.
4
Dulaglutide-related bullous pemphigoid in a patient with type 2 diabetes: A case report.一名2型糖尿病患者发生与度拉糖肽相关的大疱性类天疱疮:病例报告
Geriatr Gerontol Int. 2019 Dec;19(12):1289-1290. doi: 10.1111/ggi.13799.
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Bullous pemphigoid and DPP4 inhibitors.
Med Clin (Barc). 2019 Nov 15;153(9):368-371. doi: 10.1016/j.medcli.2019.04.031. Epub 2019 Jul 18.
6
Dipeptidyl Peptidase-4 Inhibitor-Associated Bullous Pemphigoid.二肽基肽酶-4 抑制剂相关性大疱性类天疱疮。
Front Immunol. 2019 Jun 4;10:1238. doi: 10.3389/fimmu.2019.01238. eCollection 2019.
7
HLA-DQB1*03:01 as a Biomarker for Genetic Susceptibility to Bullous Pemphigoid Induced by DPP-4 Inhibitors.HLA-DQB1*03:01作为二肽基肽酶-4抑制剂诱导的大疱性类天疱疮遗传易感性的生物标志物。
J Invest Dermatol. 2018 May;138(5):1201-1204. doi: 10.1016/j.jid.2017.11.023. Epub 2017 Dec 2.