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引用本文:朱嘉健,邓竣,谢乐,李静,伍大华.利妥昔单抗致视物模糊、视力下降不良反应1例并文献复习[J].中国现代应用药学,2026,43(7):94-98.
Zhu Jiajian,Deng Jun,Xie Le,Li Jing,WU Dahua.A Case Report of Rituximab-Induced Blurred Vision and Decreased Visual Acuity with Literature Review[J].Chin J Mod Appl Pharm(中国现代应用药学),2026,43(7):94-98.
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利妥昔单抗致视物模糊、视力下降不良反应1例并文献复习
朱嘉健1, 邓竣2, 谢乐2, 李静3, 伍大华2
1.湖南中医药大学;2.湖南省中西医结合医院;3.中南大学湘雅医院
摘要:
报道了1例48岁女性因自身免疫性郎飞结病使用利妥昔单抗治疗后,出现视力下降、视物模糊、眼内异物感,考虑为利妥昔单抗所致的不良反应。并对利妥昔单抗所致视力下降、视物模糊病例进行简要回顾。随着利妥昔单抗在临床中的广泛应用,其不良反应的类型和表现形式趋于多样化,这一现象亟需引起临床医师的高度关注,并通过加强监测与管理,进一步提升用药安全性。
关键词:  利妥昔单抗  自身免疫性郎飞结病  药物不良反应  
DOI:
分类号:R284.1;R917.101??????
基金项目:
A Case Report of Rituximab-Induced Blurred Vision and Decreased Visual Acuity with Literature Review
Zhu Jiajian1, Deng Jun2, Xie Le2, Li Jing3, WU Dahua2
1.Graduate School of Hunan University of Chinese Medicine;2.Hunan Hospital of Integrated Traditional Chinese and Western Medicine;3.Xiangya Hospital of Central South University
Abstract:
This article reports a case of a 48-year-old woman who experienced decreased vision, blurred vision, and a foreign body sensation in the eye following rituximab therapy for an autoimmune demyelinating disease affecting the nodes of Ranvier. These symptoms were identified as adverse effects potentially attributable to rituximab treatment. Additionally, this article provides a concise review of previously documented cases involving rituximab-induced visual disturbances. Given the growing clinical application of rituximab, the spectrum of its adverse reactions has expanded significantly. This trend highlights the need for heightened clinical vigilance and underscores the critical importance of implementing robust monitoring and management strategies to ensure patient safety.
Key words:  rituximab  autoimmune node of ranvier disease  adverse drug reaction
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