晚期食管鳞状细胞癌患者抗tif1γ抗体阳性皮肌炎与纳武单抗相关:1例报告和文献综述

Takuya Sakurai, Junichiro Takahashi, Teppei Komatsu, Hidetaka Mitsumura, Yasuyuki Iguchi
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引用次数: 0

摘要

我们报告一例抗转录中介因子1γ抗体阳性皮肌炎后纳武单抗治疗。患者成功地接受了脉冲类固醇治疗和大剂量静脉注射免疫球蛋白,随后口服糖皮质激素治疗。免疫检查点抑制剂,如纳武单抗,不仅可能诱发肌炎作为一种免疫相关不良事件,还可能通过分散免疫耐受而诱发皮肤肌肽作为一种副肿瘤综合征。如果患者在使用免疫检查点抑制剂后出现肌炎,则需要区分不同的病理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Anti-TIF1γ antibody-positive dermatomyositis associated with nivolumab administration in a patient with advanced oesophageal squamous cell carcinoma: A case report and literature review.

We report a case of anti-transcriptional intermediary factor 1γ antibody-positive dermatomyositis following nivolumab treatment. The patient was successfully treated with pulse steroid therapy and high-dose intravenous immunoglobulin, followed by oral glucocorticoid treatment. Immune checkpoint inhibitors, such as nivolumab, may induce not only myositis as an immune-related adverse event but also dermatomyositides as a paraneoplastic syndrome by distracting immune tolerance. Differentiating between pathologies is warranted if patients develop myositis after immune checkpoint inhibitor administration.

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