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在接受伊马替尼治疗的慢性粒细胞白血病患者中出现以糖尿病酮症酸中毒为表现的新发糖尿病。

New onset diabetes manifesting as diabetic ketoacidosis in a patient with chronic myelogenous leukemia treated with imatinib.

作者信息

Salimova Dinara, Aloyan Tatevik, Qureshi Ursula, Qureshi Faisal, Wazir Hina

机构信息

Ascension St Joseph Hospital, Chicago, IL, USA.

Kansas City University College of Medicine and Biomedical Sciences, Kansas City, MO, USA.

出版信息

Arch Endocrinol Metab. 2025 Apr 8;69(2):e240432. doi: 10.20945/2359-4292-2024-0432.

Abstract

Imatinibis a commonly used antiproliferative agent for treating chronic myelogenous leukemia and gastrointestinal stromal tumors, and it is also thought to be effective in other areas, such as rheumatologic diseases. It has been shown to improve glucose control in diabetic patients by lowering blood sugar, reducing HbA1c levels, and decreasing the need for diabetes medications. However, we present a rare occurrence of severe hyperglycemia and newly elevated HbA1c in a patient on imatinib with no prior history of diabetes. It underscores the need for further research to assess the safety and impact of imatinib on glucose metabolism.

摘要

伊马替尼是一种常用的抗增殖药物,用于治疗慢性粒细胞白血病和胃肠道间质瘤,人们还认为它在其他领域也有疗效,比如风湿性疾病。研究表明,它可通过降低血糖、降低糖化血红蛋白(HbA1c)水平以及减少糖尿病药物的使用需求来改善糖尿病患者的血糖控制。然而,我们报告了1例服用伊马替尼的患者出现罕见的严重高血糖且糖化血红蛋白(HbA1c)新升高的情况,该患者既往无糖尿病病史。这凸显了进一步研究以评估伊马替尼对糖代谢的安全性和影响的必要性。

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