Case Report: Successful Drug Desensitization to Ustekinumab in an Adult Patient with Crohn’s Disease

Öz

Objective: Ustekinumab is a biological agent used in the treatment of inflammatory diseases. Since biological therapies are targeted therapies, their use is increasing and the incidence of related reactions is increasing accordingly. We present this case because of the successful desensitization we applied to a patient who developed a reaction to ustekinumab. Materials and methods: An adult Crohn's disease patient who experienced an adverse reaction to the fifth subcutaneous dose of ustekinumab was evaluated in our Immunology and Allergy clinic. Results: The patient was successfully treated using the stepwise rapid drug desensitization protocol. Conclusion: We present this case to emphasize the importance and awareness of desensitization in managing drug reactions in clinics such as Dermatology, Rheumatology and Gastroenterology where the drug is widely used.

Anahtar Kelimeler

• ustekinumab
• desensitization
• crohn's disease
• biological yherapy

Destekleyen Kurum

yok

Vaka Raporu: Crohn Hastalığı Olan Yetişkin Bir Hastada Ustekinumab’a Karşı Başarılı İlaç Desensitizasyonu

Öz

Amaç: Ustekinumab, inflamatuar hastalıkların tedavisinde kullanılan biyolojik bir ajandır. Biyolojik tedaviler hedefli tedaviler olduğundan kullanımı artmakta ve buna bağlı olarak ilgili reaksiyonların görülme sıklığı artmaktadır. Bu olguyu, ustekinumab'a reaksiyon geliştiren bir hastaya uyguladığımız başarılı desensitizasyon nedeniyle sunuyoruz. Gereç ve Yöntem: Ustekinumab'ın beşinci subkutan dozuna karşı olumsuz reaksiyon yaşayan yetişkin bir Crohn hastalığı hastası İmmünoloji ve Alerji kliniğimizde değerlendirildi. Bulgular: Hasta, kademeli hızlı ilaç desensitizasyonu protokolü kullanılarak başarıyla tedavi edildi. Sonuç: Bu olguyu, ilacın yaygın olarak kullanıldığı Dermatoloji, Romatoloji ve Gastroenteroloji gibi kliniklerde ilaç reaksiyonlarının yönetiminde desensitizasyonun önemini ve farkındalığını vurgulamak için sunuyoruz.

Anahtar Kelimeler

• ustekinumab
• duyarsızlaştırma
• crohn hastalığı
• biyolojik tedavi

Kaynakça

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