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阿仑单抗治疗后发生的结节病:阿仑单抗对其患者构成威胁吗?

Sarcoidosis after Alemtuzumab therapy: Is Alemtuzumab posing a threat to its patients?

作者信息

Nizamani Misbah

机构信息

Dow Medical College, DUHS.

出版信息

Sarcoidosis Vasc Diffuse Lung Dis. 2024 Dec 10;41(4):e2024036. doi: 10.36141/svdld.v41i4.15873.

Abstract

Sarcoidosis is a multi-system disorder characterized by the formation of non-caseating granulomas. It is a disorder of unknown etiology. Interferon-induced sarcoidosis is a well-known phenomenon. However, in the past few years, few cases have come forward in which after treatment with a monoclonal antibody, Alemtuzumab, patients developed sarcoidosis. This antibody targets the pan-lymphocyte CD52 antigen found on both human lymphoid and myeloid cells and is used in the treatment of Relapsing Remitting Multiple Sclerosis, leukemia, etc. Patients, in these cases, after a few years of treatment developed sarcoidosis but fortunately responded well to the treatment, if needed.

摘要

结节病是一种以非干酪样肉芽肿形成为特征的多系统疾病。它是一种病因不明的疾病。干扰素诱导的结节病是一种众所周知的现象。然而,在过去几年中,很少有病例出现,即使用单克隆抗体阿仑单抗治疗后,患者发生了结节病。这种抗体靶向人类淋巴细胞和髓细胞上发现的全淋巴细胞CD52抗原,用于治疗复发缓解型多发性硬化症、白血病等。在这些病例中,患者在接受数年治疗后发生了结节病,但幸运的是,如果需要,对治疗反应良好。

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本文引用的文献

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Sarcoidosis following alemtuzumab treatment for multiple sclerosis.多发性硬化症用阿仑单抗治疗后发生肉样瘤病。
Mult Scler. 2018 Nov;24(13):1779-1782. doi: 10.1177/1352458518790391. Epub 2018 Oct 11.
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Interferon-induced sarcoidosis.干扰素诱导的结节病。
J Clin Rheumatol. 2006 Oct;12(5):241-8. doi: 10.1097/01.rhu.0000240035.67652.9d.

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