Research progress in the classification and treatment of idiopathic multicentric Castleman disease
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摘要: 特发性多中心型Castleman病(idiopathic multicentric Castleman disease,iMCD)是一种罕见血液疾病。2017年,国际Castleman病协作组(Castleman disease collaborative network,CDCN)在Blood杂志上发表了国际首个iMCD诊断共识,首次将该病分为iMCD-NOS和iMCD-TAFRO两个亚型,奠定了该病诊断和分型的基础。2018年,CDCN同样在Blood杂志上发表了全球首个iMCD治疗指南,奠定了白细胞介素-6靶向治疗在该病中的重要地位。前述共识/指南发布以来,通过国内外研究者的持续努力,对该病的分型和治疗(尤其是非白细胞介素-6为靶点的治疗)进行了新的探索。文章旨在回顾和介绍iMCD分型和治疗领域的研究进展。
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关键词:
- 特发性多中心型Castleman病 /
- 分型 /
- 治疗 /
- 研究进展
Abstract: Idiopathic multicentric Castleman disease(iMCD) is a rare hematological disease. In 2017, Castleman disease collaborative network(CDCN) published the first international consensus on diagnostic criteria for iMCD which further classified this disease into iMCD-NOS and iMCD-TAFRO. In 2018, CDCN published the first international evidence-based treatment guidelines for iMCD which emphasized the role of interleukin-6(IL-6) targeted therapy. Since publication of these two excellent works in Blood, researchers worldwide have been contributing in the classification and treatment(especially therapy directed against targets other than IL-6-signaling pathway) of this rare disease. This review aims to give a brief delineation of progress in the classification and treatment of iMCD since 2018. -
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