利妥昔单抗相关的间质性肺炎文献复习:附2例报告
目的学习总结利妥昔单抗(美罗华,RTX)相关的间质性肺炎(RTx-IP>的疾病特点、发病机制及诊疗方法。方法通过相关检查并结合文献回顾,对2例在使用RTX治疗过程中发生IP的淋巴瘤患者进行病例分析及治疗。结果2例患者在治疗后间质性肺炎病灶消失,后续原发病治疗过程顺利。结论RTX-IP起病隐匿,病理机制不明,症状不典型,需引起临床医生重视。高分辨CT对其早期发现应用价值高,RTX增加了患者对机会菌的易感性可能是部分患者的发病机制。
We report two cases of rituximab (RTX)-induced interstitial pneumonia in two lymphoma patients receiving RTX treatment. Interstitial pneumonia was successfully managed in these two cases after a one-week-long intervention with corresponding treatments without affecting further treatment of the primary disease. RTX-induced interstitial pneumonia is characterized by a latent onset with an unclear pathological mechanism and absence of typical symptoms. High-resolution CT scan can provide valuable evidence for early diagnosis of RTX-induced interstitial pneumonia, which might be attributed partially to an increased susceptibility to P jirovecii and fungal infection due to prolonged RTX treatment.
平宝红;岳春燕;朱阳敏;高雅;吴彬;洪佳琼
临床医学肿瘤学内科学
利妥昔单抗间质性肺炎淋巴瘤
平宝红;岳春燕;朱阳敏;高雅;吴彬;洪佳琼.利妥昔单抗相关的间质性肺炎文献复习:附2例报告[EB/OL].(2017-12-07)[2025-08-18].https://chinaxiv.org/abs/201712.01185.点此复制
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