南方医科大学学报 ›› 2015, Vol. 35 ›› Issue (01): 129-.

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利妥昔单抗相关的间质性肺炎文献复习:附2例报告

平宝红,岳春燕,朱阳敏,高雅,吴彬,洪佳琼   

  • 出版日期:2015-01-20 发布日期:2015-01-20

Rituximab-induced interstitial pneumonitis: report of two cases and literature review

  • Online:2015-01-20 Published:2015-01-20

摘要: 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。

Abstract: 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.