Horňák Tomáš, Žáčková Daniela, Mayer Jiří
Department of Internal Medicine Hematology and Oncology, Faculty of Medicine, University Hospital Brno, Masaryk University, Brno, Czech Republic.
Ann Hematol. 2025 Mar;104(3):2001-2004. doi: 10.1007/s00277-025-06228-x. Epub 2025 Feb 28.
Chronic myeloid leukemia (CML) treatment has been revolutionized over last 20 years because of tyrosine kinase inhibitors (TKIs) and patients with CML now have life expectancy of general population. Chronic TKI treatment may cause adverse effects (AEs) that vary in frequency and severity. Nilotinib shows common AEs with metabolic changes and skin AEs. Here, we present a case report of patient who experienced full psoriasis regression while treated with nilotinib. Dose reductions and an attempt to stop nilotinib treatment resulted in prompt psoriasis reappearance. This is the first documented case of positive effect of nilotinib on psoriasis.
在过去20年里,由于酪氨酸激酶抑制剂(TKIs)的出现,慢性髓性白血病(CML)的治疗发生了革命性变化,现在CML患者的预期寿命已与普通人群相当。长期使用TKI治疗可能会引起频率和严重程度各异的不良反应(AEs)。尼洛替尼表现出常见的代谢变化和皮肤方面的不良反应。在此,我们报告一例在接受尼洛替尼治疗期间银屑病完全消退的患者。剂量减少以及尝试停止尼洛替尼治疗导致银屑病迅速复发。这是尼洛替尼对银屑病产生积极作用的首例文献记载病例。