中国药物警戒 ›› 2025, Vol. 22 ›› Issue (12): 1437-1440.
DOI: 10.19803/j.1672-8629.20250124

• 安全与合理用药 • 上一篇    

信迪利单抗注射液致免疫相关性膀胱炎1例分析

黄慧玲1, 童方琴2, 宋璐3*   

  1. 1武汉亚心总医院药学部,湖北 武汉 430051;
    2武汉亚心总医院肿瘤科,湖北 武汉 430051;
    3华中科技大学同济医学院附属梨园医院药学部,湖北 武汉 430077
  • 收稿日期:2025-02-28 发布日期:2025-12-19
  • 通讯作者: *宋璐,男,硕士,主管药师,临床药学。E-mail: 997759651@qq.com
  • 作者简介:黄慧玲,女,硕士,主管药师,临床药学。

One Case of Immune-Related Cystitis Caused by Sintilimab Injection

HUANG Huiling1, TONG Fangqin2, SONG Lu3*   

  1. 1Department of Pharmacy, Wuhan Asia General Hospital, Wuhan Hubei 430051, China;
    2Department of Oncology, Wuhan Asia General Hospital, Wuhan Hubei 430051, China;
    3Department of Pharmacy, Liyuan Hospital of Tongji Medical College of Huazhong University of Science &Technology, Wuhan Hubei 430077, China
  • Received:2025-02-28 Published:2025-12-19

摘要: 目的 分析免疫检查点抑制剂(ICIs)致免疫相关性膀胱炎病例,为临床用药提供参考。方法 对1例信迪利单抗致免疫相关性膀胱炎病例进行探讨,并回顾既往文献,总结其临床特征和治疗建议。结果 信迪利单抗与免疫相关性膀胱炎关联性为很可能。经及时治疗,患者症状缓解后出院。结论 免疫相关性膀胱炎目前尚缺乏明确的诊断标准,属于罕见免疫相关不良反应(irAEs),如有ICIs用药史,出现尿路刺激症状,且抗感染治疗无效,需及时考虑免疫相关性膀胱炎可能。

关键词: 信迪利单抗, 免疫检查点抑制剂, 免疫相关性膀胱炎, 免疫相关不良反应, 药品不良反应

Abstract: Objective To analyze one case of immune-related cystitis induced by immune checkpoint inhibitors (ICIs) and provide references for clinical medications. Methods One case of immune-related cystitis caused by sintilimab was discussed, and related literature was reviewed to summarize its clinical characteristics and treatments. Results The association between sintilimab and immune-related cystitis was close. After quick symptomatic treatment, the patient was discharged after the symptoms improved. Conclusion There are currently no definitive diagnostic criteria for immune-related cystitis, which is a rare immune-related adverse event (irAEs). Immune-related cystitis is likely if a patient has used ICIs, presents with urinary irritation symptoms, and shows no response to anti-infective treatment.

Key words: Sintilimab, ICIs, Immune-Related Cystitis, irAEs, Adverse Drug Reactions

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