Vedolizumab-associated pulmonary manifestations in children with ulcerative colitis

被引:5
作者
Cucinotta, Ugo [1 ]
Dipasquale, Valeria [1 ]
Costa, Stefano [1 ]
Pellegrino, Salvatore [1 ]
Ramistella, Vincenzo [1 ]
Romano, Claudio [1 ]
机构
[1] Univ Messina, Dept Human Pathol Adulthood & Childhood G Barresi, Pediat Gastroenterol & Cyst Fibrosis Unit, I-98124 Messina, Italy
关键词
adverse effects; children; inflammatory bowel disease; respiratory tract infection; ulcerative colitis; vedolizumab; INFLAMMATORY-BOWEL-DISEASE; MAINTENANCE THERAPY; EXPERIENCE; INDUCTION;
D O I
10.1111/jcpt.13494
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
What is known and Objective The off-label use of vedolizumab (VDZ) for inflammatory bowel disease in children is increasing. We report on possibly the first case of VDZ-associated pulmonary manifestations in paediatrics. Case summary This report details the case of a 13-year-old child with ulcerative colitis who was initiated on VDZ due to persistent active disease. After the first three doses, he developed a persistent and productive cough. Microbiological work-up was normal. VDZ discontinuation led to the resolution of symptoms. What is new and conclusion To our knowledge, this is the first case report of VDZ-associated pulmonary manifestations in paediatrics. A direct, pro-inflammatory effect of VDZ has been hypothesized, but further studies are warranted.
引用
收藏
页码:254 / 256
页数:3
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