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用阿尼鲁单抗治疗难治性皮肌炎。

Recalcitrant Dermatomyositis Treated With Anifrolumab.

作者信息

Chaudhary Shivang, Baumer Meghan, Upton Laura, Ong Samantha, Smith Kristin, West Daniel, Kilian Adam

机构信息

Saint Louis University School of Medicine, St. Louis, Missouri.

出版信息

ACR Open Rheumatol. 2025 Jan;7(1):e11792. doi: 10.1002/acr2.11792.

DOI:10.1002/acr2.11792
PMID:39853955
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11760995/
Abstract

Dermatomyositis is an idiopathic inflammatory myopathy which can present with distinctive skin features. Despite the many treatment modalities for the treatment of dermatomyositis some patients remain refractory to treatment. We present a case of a 38-year-old man with recalcitrant dermatomyositis who was successfully treated with the interferon α receptor 1-inhibiting monoclonal antibody anifrolumab. Many studies have shown a correlation between dermatomyositis disease activity and the type 1 interferon pathway activity. We believe anifrolumab may be a promising option for severe cutaneous dermatomyositis.

摘要

皮肌炎是一种特发性炎性肌病,可伴有独特的皮肤表现。尽管有多种治疗皮肌炎的方法,但仍有一些患者对治疗无效。我们报告一例38岁顽固性皮肌炎男性患者,他接受干扰素α受体1抑制性单克隆抗体阿尼鲁单抗治疗取得成功。许多研究表明皮肌炎疾病活动与1型干扰素通路活性之间存在关联。我们认为阿尼鲁单抗可能是重度皮肤型皮肌炎的一个有前景的治疗选择。

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本文引用的文献

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Refractory dermatomyositis responsive to anifrolumab.对阿尼鲁单抗有反应的难治性皮肌炎
JAAD Case Rep. 2023 Nov 7;43:27-29. doi: 10.1016/j.jdcr.2023.10.023. eCollection 2024 Jan.
2
Type I Interferons in Autoimmunity: Implications in Clinical Phenotypes and Treatment Response.Ⅰ型干扰素在自身免疫病中的作用:对临床表型和治疗反应的影响。
J Rheumatol. 2023 Sep;50(9):1103-1113. doi: 10.3899/jrheum.2022-0827. Epub 2023 Jul 1.
3
Role of Anifrolumab in Refractory Cutaneous Manifestations of Lupus Erythematosus: A Case Series and Literature Review.
阿尼鲁单抗在红斑狼疮难治性皮肤表现中的作用:病例系列及文献综述
Cureus. 2023 May 27;15(5):e39553. doi: 10.7759/cureus.39553. eCollection 2023 May.
4
Dermatomyositis: Clinical features and pathogenesis.皮肌炎:临床特征与发病机制。
J Am Acad Dermatol. 2020 Feb;82(2):267-281. doi: 10.1016/j.jaad.2019.06.1309. Epub 2019 Jul 4.
5
Current diagnosis and treatment of polymyositis and dermatomyositis.多发性肌炎和皮肌炎的当前诊断与治疗
Mod Rheumatol. 2018 Nov;28(6):913-921. doi: 10.1080/14397595.2018.1467257. Epub 2018 May 9.