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抗环瓜氨酸肽阳性的风湿免疫相关不良事件与皮肤药物不良反应:一例报告

Rheumatic Immune-Related Adverse Events With Anti-cyclic Citrullinated Peptide Positivity and Cutaneous Adverse Drug Reactions: A Case Report.

作者信息

Yamazaki Akiko, Nakano Eiji, Yoshida Tomohiko

机构信息

Rheumatology, Setagaya Rheumatology Clinic, Tokyo, JPN.

Department of Dermatologic Oncology, National Cancer Center Hospital, Tokyo, JPN.

出版信息

Cureus. 2024 Nov 15;16(11):e73774. doi: 10.7759/cureus.73774. eCollection 2024 Nov.

DOI:10.7759/cureus.73774
PMID:39677189
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11646650/
Abstract

We report the case of a patient who experienced rheumatic immune-related adverse events (irAEs) with anti-cyclic citrullinated peptide (anti-CCP) positivity and cutaneous adverse drug reactions. A 59-year-old woman with malignant melanoma who was treated with nivolumab as postoperative adjuvant therapy developed polyarthralgia with anti-CCP positivity and dermatologic adverse events caused by celecoxib or lansoprazole. Her rheumatic and cutaneous symptoms greatly improved with oral glucocorticoid treatment. The findings of this case suggest that after treatment with immune checkpoint inhibitors, it is necessary to pay attention to irAEs and provide appropriate treatment.

摘要

我们报告了一例出现风湿免疫相关不良事件(irAEs)且抗环瓜氨酸肽(anti-CCP)呈阳性以及皮肤药物不良反应的患者。一名59岁患有恶性黑色素瘤的女性,接受纳武单抗作为术后辅助治疗,出现了抗CCP阳性的多关节痛以及由塞来昔布或兰索拉唑引起的皮肤不良事件。口服糖皮质激素治疗后,她的风湿和皮肤症状有了显著改善。该病例的结果表明,在使用免疫检查点抑制剂治疗后,有必要关注irAEs并提供适当治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/62dc/11646650/84acbcdfdb9a/cureus-0016-00000073774-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/62dc/11646650/35f678e6dc83/cureus-0016-00000073774-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/62dc/11646650/c08e7ad7a30c/cureus-0016-00000073774-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/62dc/11646650/d131015a00d1/cureus-0016-00000073774-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/62dc/11646650/84acbcdfdb9a/cureus-0016-00000073774-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/62dc/11646650/35f678e6dc83/cureus-0016-00000073774-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/62dc/11646650/c08e7ad7a30c/cureus-0016-00000073774-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/62dc/11646650/d131015a00d1/cureus-0016-00000073774-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/62dc/11646650/84acbcdfdb9a/cureus-0016-00000073774-i04.jpg

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本文引用的文献

1
Association Between Rheumatic Autoantibodies and Immune-Related Adverse Events.风湿自身抗体与免疫相关不良事件的关联。
Oncologist. 2023 May 8;28(5):440-448. doi: 10.1093/oncolo/oyac252.
2
Immune checkpoint inhibitor-related dermatologic adverse events.免疫检查点抑制剂相关的皮肤不良反应。
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EULAR points to consider for the diagnosis and management of rheumatic immune-related adverse events due to cancer immunotherapy with checkpoint inhibitors.
EULAR 针对癌症免疫治疗中使用检查点抑制剂引起的风湿免疫相关不良事件的诊断和管理的考虑要点。
Ann Rheum Dis. 2021 Jan;80(1):36-48. doi: 10.1136/annrheumdis-2020-217139. Epub 2020 Apr 23.
4
Inflammatory tenosynovitis and enthesitis induced by immune checkpoint inhibitor treatment.免疫检查点抑制剂治疗引起的炎症性腱鞘炎和肌腱端炎。
Clin Rheumatol. 2018 Apr;37(4):1107-1110. doi: 10.1007/s10067-018-4035-0. Epub 2018 Feb 17.
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Rheumatic manifestations among cancer patients treated with immune checkpoint inhibitors.免疫检查点抑制剂治疗的癌症患者中的风湿表现。
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Rheumatic disorders associated with immune checkpoint inhibitors in patients with cancer-clinical aspects and relationship with tumour response: a single-centre prospective cohort study.癌症患者免疫检查点抑制剂相关风湿性疾病的临床特征及其与肿瘤应答的关系:单中心前瞻性队列研究。
Ann Rheum Dis. 2018 Mar;77(3):393-398. doi: 10.1136/annrheumdis-2017-212257. Epub 2017 Nov 16.
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Cytotoxic Cutaneous Adverse Drug Reactions during Anti-PD-1 Therapy.抗 PD-1 治疗中的细胞毒性皮肤不良反应。
Clin Cancer Res. 2016 Aug 15;22(16):4023-9. doi: 10.1158/1078-0432.CCR-15-2872. Epub 2016 Mar 8.
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In vitro characterization of the anti-PD-1 antibody nivolumab, BMS-936558, and in vivo toxicology in non-human primates.抗 PD-1 抗体nivolumab(BMS-936558)的体外特征分析和在非人灵长类动物中的体内毒理学研究。
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