Tislelizumab 引起的细胞因子释放综合征:首例病例报告和文献综述。

IF 2.7 4区 医学 Q3 IMMUNOLOGY
Haobo Yin, Yanwen Diao, Zhen Zheng, Qian Dong, Jingdong Zhang
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引用次数: 0

摘要

细胞因子释放综合征(CRS)是免疫检查点抑制剂(ICIs)的一种不常见但却致命的副作用。ICIs 目前已成为治疗恶性肿瘤的一种日益重要的方法,但针对 CRS 的治疗方法却很有限。我们报告了一例 72 岁男性患者的病例,该患者因患局部晚期右肺腺癌而接受了一个周期的 ICI 以及顺铂和白蛋白结合型紫杉醇治疗。在突然出现呼吸困难后,患者接受了快速体格检查和血液化验,并被诊断为 CRS。在及时启动糖皮质激素脉冲治疗后,症状得到缓解。该病例说明了 ICI 治疗后严重 CRS 的处理方法,同时强调了不常见且可能致命的免疫相关副作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Tislelizumab-induced cytokine release syndrome: the first case report and review of the literature.

Cytokine release syndrome (CRS) is an uncommon but deadly side effect of immune checkpoint inhibitors (ICIs). ICIs are presently an increasingly important therapy option for malignant tumors, but there are limited treatments available for CRS. We present a case of a 72-year-old man who received one cycle of ICI coupled with cisplatin and albumin-binding paclitaxel therapy for a locally advanced right lung adenocarcinoma. Following an abrupt onset of dyspnea, the patient underwent a quick physical examination, blood tests and was diagnosed with CRS. After prompt initiation of glucocorticoid pulse treatment, the symptoms relieved. The case illustrates the management of severe CRS following ICI therapy while highlighting the uncommon and potentially fatal immune-related side effects.

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来源期刊
Immunotherapy
Immunotherapy 医学-免疫学
CiteScore
5.00
自引率
3.60%
发文量
113
审稿时长
6-12 weeks
期刊介绍: Many aspects of the immune system and mechanisms of immunomodulatory therapies remain to be elucidated in order to exploit fully the emerging opportunities. Those involved in the research and clinical applications of immunotherapy are challenged by the huge and intricate volumes of knowledge arising from this fast-evolving field. The journal Immunotherapy offers the scientific community an interdisciplinary forum, providing them with information on the most recent advances of various aspects of immunotherapies, in a concise format to aid navigation of this complex field. Immunotherapy delivers essential information in concise, at-a-glance article formats. Key advances in the field are reported and analyzed by international experts, providing an authoritative but accessible forum for this vitally important area of research. Unsolicited article proposals are welcomed and authors are required to comply fully with the journal''s Disclosure & Conflict of Interest Policy as well as major publishing guidelines, including ICMJE and GPP3.
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