福島県立医科大学学術成果リポジトリ = Fukushima Medical University Repository >
福島医学会 = The Fukushima Society of Medical Science >
Fukushima Journal of Medical Science >
Vol.68 (2022) >
このアイテムの引用には次の識別子を使用してください:
http://ir.fmu.ac.jp/dspace/handle/123456789/1932
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タイトル: | Successful management of unstable angina in a ravulizumab-treated patient with paroxysmal nocturnal hemoglobinuria |
著者: | Takahashi, Hiroshi Mori, Hirotaka Fukatsu, Masahiko Sano, Takahiro Harada, Kayo Oikawa, Masayoshi Takeishi, Yasuchika Kimura, Satoshi Ohkawara, Hiroshi Shichishima, Tsutomu Ikezoe, Takayuki |
学内所属: | 血液内科学講座 循環器内科学講座 |
誌名/書名: | Fukushima Journal of Medical Science |
巻: | 68 |
号: | 3 |
開始ページ: | 175 |
終了ページ: | 178 |
発行日: | 2022年 |
抄録: | Ravulizumab is an anti-C5 antibody approved for treating paroxysmal nocturnal hemoglobinuria (PNH). In August 2019, a 77-year-old Japanese man with PNH, who had been on ravulizumab treatment for 2 years, was hospitalized for chest discomfort and malaise. Electrocardiography identified a right bundle block, and elevated serum troponin I and d-dimer suggested ischemic heart disease. Cardiac catheterization revealed severe stenosis in the left anterior descending coronary artery, and intracoronary stenting relieved his chest discomfort. The final diagnosis was unstable angina unrelated to ravulizumab, and the patient's ravulizumab treatment was uninterrupted with no significant complications of PNH. This case report highlights the importance of continuing complement inhibition therapy during acute coronary events. |
出版者: | The Fukushima Society of Medical Science |
出版者(異表記): | 福島医学会 |
本文の言語: | eng |
このページのURI: | http://ir.fmu.ac.jp/dspace/handle/123456789/1932 |
本文URL: | http://ir.fmu.ac.jp/dspace/bitstream/123456789/1932/1/FksmJMedSci_68_p175.pdf |
ISSN: | 0016-2590 2185-4610 |
DOI: | 10.5387/fms.2022-16 |
PubMed番号: | 36130907 |
関連ページ: | https://doi.org/10.5387/fms.2022-16 |
権利情報: | © 2022 The Fukushima Society of Medical Science. This article is licensed under a Creative Commons [Attribution-NonCommercial-ShareAlike 4.0 International] license. |
権利情報: | https://creativecommons.org/licenses/by-nc-sa/4.0/ |
出現コレクション: | Vol.68 (2022)
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