X N Zhu, T Y He, S L Luo, Y Y Huang, Y B Xu, S L Liu, J Yang
{"title":"[canakinumab治疗全身性幼年特发性关节炎患儿的难治性巨噬细胞激活综合征]。","authors":"X N Zhu, T Y He, S L Luo, Y Y Huang, Y B Xu, S L Liu, J Yang","doi":"10.3760/cma.j.cn112140-20230220-00114","DOIUrl":null,"url":null,"abstract":"患儿 男，3岁7月龄，以发热、关节肿痛为首发表现，外周血白细胞及超敏C反应蛋白增高，病程中患儿血小板下降、铁蛋白升高、纤维蛋白原降低、NK细胞活性下降以及可溶性白细胞介素2受体升高，诊断幼年特发性关节炎全身型合并巨噬细胞活化综合征（MAS）。糖皮质激素冲击并加用卢可替尼口服，启用94噬血方案及2次挽救方案治疗后效果欠佳，患儿仍反复发热，铁蛋白持续升高，诊断难治性MAS。加用卡那单抗并定期维持治疗，患儿5岁，糖皮质激素已停用，疾病持续缓解。.","PeriodicalId":23998,"journal":{"name":"Zhonghua er ke za zhi = Chinese journal of pediatrics","volume":"61 9","pages":"842-844"},"PeriodicalIF":0.0000,"publicationDate":"2023-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"[Refractory macrophage activation syndrome in children with systemic onset juvenile idiopathic arthritis treated with canakinumab].\",\"authors\":\"X N Zhu, T Y He, S L Luo, Y Y Huang, Y B Xu, S L Liu, J Yang\",\"doi\":\"10.3760/cma.j.cn112140-20230220-00114\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"患儿 男，3岁7月龄，以发热、关节肿痛为首发表现，外周血白细胞及超敏C反应蛋白增高，病程中患儿血小板下降、铁蛋白升高、纤维蛋白原降低、NK细胞活性下降以及可溶性白细胞介素2受体升高，诊断幼年特发性关节炎全身型合并巨噬细胞活化综合征（MAS）。糖皮质激素冲击并加用卢可替尼口服，启用94噬血方案及2次挽救方案治疗后效果欠佳，患儿仍反复发热，铁蛋白持续升高，诊断难治性MAS。加用卡那单抗并定期维持治疗，患儿5岁，糖皮质激素已停用，疾病持续缓解。.\",\"PeriodicalId\":23998,\"journal\":{\"name\":\"Zhonghua er ke za zhi = Chinese journal of pediatrics\",\"volume\":\"61 9\",\"pages\":\"842-844\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2023-09-02\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Zhonghua er ke za zhi = Chinese journal of pediatrics\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.3760/cma.j.cn112140-20230220-00114\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Zhonghua er ke za zhi = Chinese journal of pediatrics","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.3760/cma.j.cn112140-20230220-00114","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
分享
求助内容：
应助结果提醒方式：
扫码关注我们
