派姆单抗诱导甲状腺风暴。

Q3 Medicine Baylor University Medical Center Proceedings Pub Date : 2024-10-11 eCollection Date: 2025-01-01 DOI:10.1080/08998280.2024.2413320
Ewelina Niedzialkowska, Lark Steafo, Sam Alsabti, Alice Kim
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引用次数: 0

摘要

免疫检查点抑制剂(ICIs)是一种新型治疗方式,它给肿瘤学领域带来了革命性的变化。它们在各种癌症中的广泛应用以及患者生存期的延长,导致人们发现了与该疗法相关的各种副作用,即所谓的免疫相关不良反应(irAEs)。据推测,IrAEs 是由免疫增强引起的,经常导致内分泌失调。在使用 pembrolizumab 治疗期间,甲状腺功能障碍并不少见,多达 13% 至 14% 的患者会受到影响。与 ICIs 相关的甲状腺风暴极为罕见。我们介绍了一例 34 岁的转移性卵巢癌女性患者,她在加用 Pembrolizumab 后不久出现甲状腺风暴。
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Pembrolizumab-induced thyroid storm.

Immune checkpoint inhibitors (ICIs) are novel treatment modalities that have revolutionized the field of oncology. Their widespread use in various cancers and prolonged survival of patients led to the identification of a wide range of side effects associated with the therapy, known as immune-related adverse effects (irAEs). IrAEs are presumed to arise from immunologic enhancement and frequently result in endocrine disorders. Thyroid dysfunction is not uncommon during therapy with pembrolizumab and affects up to 13% to 14% of patients. Thyroid storm associated with ICIs is extremely rare. We present a case of a 34-year-old woman with metastatic ovarian carcinoma who developed thyroid storm shortly after an addition of pembrolizumab.

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