Delayed Injection Site Reaction to Fremanezumab for Chronic Migraine Treatment.

Q3 Medicine Wisconsin Medical Journal Pub Date : 2023-05-01
Kevin V Thomas, Daniel D Bennett, Justin Endo
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Abstract

Introduction: Fremanezumab is a humanized monoclonal antibody administered through a subcutaneous injection. It is used for treatment of migraines, and occasional injection site reactions have developed after usage.

Case presentation: This case report describes a nonimmediate injection site reaction on the right thigh of a 25-year-old female patient after starting treatment with fremanezumab. The injection site reaction presented as 2 warm, red annular plaques 8 days following a second injection of fremanezumab and about 5 weeks following the first injection. She was prescribed a 1-month course of prednisone that relieved her symptoms of redness, itching, and pain.

Discussion: Similar nonimmediate injection site reactions have been reported before, but this particular injection site reaction was significantly more delayed.

Conclusions: Our case illustrates that injection site reactions to fremanezumab can be delayed after the second dose and may require systemic therapy to alleviate symptoms.

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Fremanezumab延迟注射部位反应治疗慢性偏头痛。
Fremanezumab是一种人源化单克隆抗体,通过皮下注射给药。它用于治疗偏头痛,使用后偶尔会出现注射部位反应。病例介绍:本病例报告描述了一名25岁女性患者在开始使用fremanezumab治疗后右大腿非立即注射部位反应。第二次注射fremanezumab后8天,第一次注射后约5周,注射部位反应表现为2个温暖的红色环状斑块。医生给她开了一个月的强的松疗程,缓解了她的红肿、瘙痒和疼痛症状。讨论:以前也报道过类似的非立即注射部位反应,但这种特殊的注射部位反应明显延迟。结论:我们的病例表明,注射部位对fremanezumab的反应可能在第二次剂量后延迟,可能需要全身治疗来缓解症状。
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来源期刊
Wisconsin Medical Journal
Wisconsin Medical Journal Medicine-Medicine (all)
CiteScore
1.30
自引率
0.00%
发文量
72
期刊介绍: The Wisconsin Medical Society is the largest association of medical doctors in the state with more than 12,000 members dedicated to the best interests of their patients. With that in mind, wisconsinmedicalsociety.org offers patients a unique source for reliable, physician-reviewed medical information. The Wisconsin Medical Society has been a trusted source for health policy leadership since 1841.
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