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达沙替尼诱发的类多发性肌炎综合征:1例罕见病例报告。

Dasatinib-Induced Polymyositis-Like Syndrome: A Report of a Rare Case.

作者信息

Kulkarni Arathi, Keshavamurthy Chandana, Sultani Tamim, Shastri Divya, Smith Trent

机构信息

Rheumatology, Nova Southeastern University Dr. Kiran C. Patel College of Osteopathic Medicine, Davie, USA.

Rheumatology, University of Arizona College of Medicine - Phoenix, Phoenix, USA.

出版信息

Cureus. 2025 Jun 20;17(6):e86457. doi: 10.7759/cureus.86457. eCollection 2025 Jun.

Abstract

Myositis is an inflammatory muscle disease characterized by chronic inflammation, progressive muscle weakness, and various systemic effects. Dasatinib, a tyrosine kinase inhibitor (TKI), is commonly used as a first-line treatment for chronic myelogenous leukemia (CML). Although it is generally effective, there have been rare cases where dasatinib can induce muscle damage, leading to muscle weakness. We wanted to highlight a unique case involving a 24-year-old Caucasian male who was treated with dasatinib for CML and subsequently developed proximal weakness in both his upper and lower extremities. Imaging studies, including multiple MRI scans, revealed diffuse muscular edema. Importantly, the patient did not receive steroid treatment; however, his symptoms significantly improved after discontinuing dasatinib. This case is a noteworthy contribution to the understanding of dasatinib-induced polymyositis-like syndrome, as it represents the first documented instance, to the best of our knowledge, based on our literature review. Such cases emphasize the need for close monitoring of muscle health in patients receiving dasatinib and encourage further investigation into the relationship between this medication and myositis.

摘要

肌炎是一种以慢性炎症、进行性肌无力和各种全身症状为特征的炎性肌肉疾病。达沙替尼是一种酪氨酸激酶抑制剂(TKI),常用于慢性粒细胞白血病(CML)的一线治疗。尽管它总体上有效,但也有罕见病例显示达沙替尼可导致肌肉损伤,进而引起肌无力。我们想强调一个独特病例,该病例涉及一名24岁的白种男性,他因慢性粒细胞白血病接受达沙替尼治疗,随后出现双上肢和双下肢近端肌无力。包括多次磁共振成像(MRI)扫描在内的影像学检查显示弥漫性肌肉水肿。重要的是,该患者未接受类固醇治疗;然而,停用达沙替尼后其症状显著改善。据我们所知,基于文献回顾,该病例是首例有记录的达沙替尼诱导的多发性肌炎样综合征,对理解该综合征有重要意义。此类病例强调了对接受达沙替尼治疗的患者密切监测肌肉健康的必要性,并鼓励进一步研究这种药物与肌炎之间的关系。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1183/12277042/8411141e2e88/cureus-0017-00000086457-i01.jpg

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