Dramatic Response to Tezepelumab as an Initial Biologic Agent for Refractory Asthma Associated with Type 2 and Non-type 2 Traits.

IF 0.6 4区 医学 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Acta medica Okayama Pub Date : 2023-12-01 DOI:10.18926/AMO/66161
Daisuke Minami, Takeshi Hosoya, Masaharu Hosoya, Akichika Nagano, Yasuhiro Nakajima, Nobuaki Miyahara, Arihiko Kanehiro
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Abstract

A 74-year-old Japanese woman presented with a 45-year history of refractory asthma. She had been treated with inhaled corticosteroids, a long-acting β2-agonist, and a long-acting muscarinic antagonist for 6 months. She also had a repeated viral infection. Her condition had been characterized as a refractory asthma associated with type 2 and non-type 2 traits. We began treatment with tezepelumab. The control of the patient's asthma symptoms and quality of life improved greatly within 1 month (changes in eosinophil count from 748 to 96 /μL, in FeNO from 32 to 17 ppb, in the Asthma Quality of Life Questionnaire score from 3.59 to 6.68, and in the Asthma Control Test score from 13 to 23). Tezepelumab was effective as an initial biologic agent for a patient with refractory asthma associated with type 2 and non-type 2 traits.

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特珠单抗作为初始生物制剂治疗伴有 2 型和非 2 型特征的难治性哮喘效果显著。
一位 74 岁的日本妇女患有难治性哮喘 45 年。她曾接受吸入皮质类固醇、长效β2-受体激动剂和长效毒蕈碱拮抗剂治疗 6 个月。她还曾反复感染病毒。她的病情被描述为与 2 型和非 2 型特征相关的难治性哮喘。我们开始使用替塞单抗进行治疗。患者的哮喘症状控制和生活质量在一个月内得到了极大改善(嗜酸性粒细胞计数从 748 降至 96/μL, FeNO 从 32 降至 17ppb,哮喘生活质量问卷评分从 3.59 升至 6.68,哮喘控制测试评分从 13 升至 23)。特珠单抗作为一种初始生物制剂,对患有伴有2型和非2型特征的难治性哮喘患者非常有效。
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来源期刊
Acta medica Okayama
Acta medica Okayama 医学-医学:研究与实验
CiteScore
1.00
自引率
0.00%
发文量
110
审稿时长
6-12 weeks
期刊介绍: Acta Medica Okayama (AMO) publishes papers relating to all areas of basic and clinical medical science. Papers may be submitted by those not affiliated with Okayama University. Only original papers which have not been published or submitted elsewhere and timely review articles should be submitted. Original papers may be Full-length Articles or Short Communications. Case Reports are considered if they describe significant and substantial new findings. Preliminary observations are not accepted.
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