TNF-Alpha 抑制剂诱发的嗜酸性粒细胞增多症:此类生物制剂被低估的副作用。

Federico Diomeda, Gianfranco Calogiuri, Maurizio Congedo, Angela Filoni, Emiliano Sordi, Massimo Fiore, Lucia Pietroleonardo, Prisco Piscitelli, Adele Civino
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引用次数: 0

摘要

导言:我们介绍了一例不寻常的病例:一名28岁的男性风湿病患者在先服用依那西普(etanercept)后服用戈利木单抗(golimumab)期间出现了嗜酸性粒细胞增多症:尽管嗜酸性粒细胞增多症作为各种肿瘤坏死因子α[TNF-α]拮抗剂的副作用在文献中鲜有报道,但它却为这些患者的未来治疗带来了谜团,因为持续治疗可能会导致这些患者出现皮肤或内脏嗜酸性粒细胞增多症并发症:此外,嗜酸性粒细胞增多症的发病机制尚不清楚,所有提出的假说都无法解释某些患者的嗜酸性粒细胞增生。
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TNF-Alpha Inhibitors Induced Eosinophilia: An Undervalued Side Effect of Such Biologicals.

Introduction: We present an unusual case of a 28-year-old rheumatologic male patient who developed eosinophilia while he was on etanercept therapy first and then on golimumab.

Case representation: Although eosinophilia is rarely reported in the literature as a side-effect of various Tumor Necrosis Factor-alpha [TNF-alpha] antagonists, it represents a riddle about the future treatments of these patients since the persistence of therapy might lead to the onset of dermatologic or visceral eosinophilic complications in such patients.

Conclusion: Furthermore, the pathogenesis of eosinophilia is still unknown, and all the proposed hypotheses do not explain the eosinophilic proliferation in certain subjects.

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