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目的:分析英夫利昔致药物性狼疮(DIL)的发生规律及特点,为安全用药提供参考。方法:以“英夫利昔”“狼疮”等为检索词,检索2002年1月-2016年6月中国学术期刊全文数据库(CJFD)、维普中文科技期刊数据库(VIP)及PubMed等数据库,对英夫利昔致DIL的相关文献进行分析。结果:共检索得到有效文献30篇,共计31例DIL患者。其中,男性8例(25.81%),女性23例(74.19%),年龄>50岁的中老年患者17例(54.84%);发生在5~24周有20例(64.51%);单独使用英夫利昔方案者16例(51.61%);主要临床表现为皮疹或光敏性肠炎(15例)、关节痛(16例,多发性关节炎及滑膜炎)和发热(12例),有5例患者同时出现上述3种症状;实验室检查主要表现为抗核抗体、双链DNA抗体及抗组蛋白抗体阳性;除1例患者继续用药外,其余30例DIL患者给予停药或甾体激素治疗,其中26例患者于停药或治疗后6个月之内症状消失,1例患者病情恶化。结论:英夫利昔致DIL的发生涉及患者年龄、性别、疾病种类、家庭史等多种因素,临床应加强用药监测,减少不良反应的发生。
OBJECTIVE: To analyze the general patterns and characteristics of drug-induced lupus (DIL) induced by infliximab, and to provide reference for the safety of drug use. METHODS: Using “infiximab”,“lupus” as searching words, infliximab-induced DIL literatures included in CJFD, VIP and PubMed from Jan. 2002 to Jun. 2016 were retrieved and analyzed. RESULTS: Totally 30 effective literatures were retrieved, involving 31 DIL patients, there were 8 male cases (25.81%) and 23 female cases (74.19%); 17 patients aged more than 50 (54.84%). 20 cases occurred within 5-24 weeks (64.51%). 16 patients received infliximab alone (51.61%). Main clinical manifestations were skin rash or photosensitivie enteritig (15 cases), joint pain (16 cases, multiple arthritis and synovitis) and fever (12 cases). 5 patients suffered from 3 above symptoms simultaneously. Laboratory examination mainly manifested as antinuclear antibody, double stranded DNA antibody and anti-histone antibody positive. Thirty patients with DIL received drug withdrawal or steroid hormones treatment, among which the symptoms of 26 patients disappeared after drug withdrawal or treatment within 6 months, and 1 patient deteriorated. CONCLUSIONS: DIL-induced by infliximab invovle patients’age and gender, disease types, family history and other factors. Clinicians should be aware of rules and characteristics of DIL induced by infliximab, and tighten drug use monitoring to reduce ADR.
英夫利昔药物性狼疮文献分析
InfliximabDrug-induced lupusLiterature analysis
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