[免疫检查点抑制剂再挑战后的免疫相关性结肠炎:1例报告]。

M Q Wang, Y J Shi, R X Chen, Z Y Li, K Xu, C Shao, H Huang
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引用次数: 0

摘要

免疫相关不良事件(irAE)是免疫检查点抑制剂(ICI)后可能涉及单个或多个系统的治疗相关并发症,范围从轻微到危及生命的疾病,具有显著的异质性。这是影响ICI持续治疗的重要因素。经历轻度至中度irAE的患者可以在irAE恢复后再尝试ICI。然而,在ICI再挑战期间,患者会出现相同或不同的irAE。我们的患者被诊断为上颌窦癌,在联合化疗和放疗的抗pd -1治疗后出现了检查点抑制剂肺炎(CIP)。在密切的跟踪下,他尝试了同样的ICI再次挑战。虽然他没有难治性CIP,但他被诊断为免疫相关性结肠炎,并在ICI停药和益生菌和美沙拉嗪治疗后恢复。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Immune-related colitis after immune checkpoint inhibitor rechallenging: a case report].

Immune-related adverse events (irAE) are treatment-associated complications that single or multiple systems could be involved after immune checkpoint inhibitors(ICI), ranging from mild to life-threatening diseases, with significant heterogeneity. This is an important factor which might affect continuous ICI treatment. Patients who have experienced mild to moderate irAE could try ICI rechallenge after they recovered from irAE. However, patients would suffer from same or different irAE during ICI rechallenge. Our patient who was diagnosed with maxillary sinus carcinoma experienced checkpoint inhibitor pneumonitis (CIP) after anti-PD-1 therapy with combined chemotherapy and radiotherapy. Under closely follow-up, he tried same ICI rechallenge. Although he did not suffer from refractory CIP, he was diagnosed with immune-related colitis, which was recovered from ICI discontinuation and treatment of probiotics and Mesalazine.

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