PD-1 inhibitors induced bullous lichen planus-like reactions: a rare presentation and report of three cases

被引:31
作者
Wakade, Deepal V. [1 ,2 ]
Carlos, Giuliana [1 ,2 ]
Hwang, Shelley J. E. [1 ,2 ]
Chou, Shaun [4 ]
Hui, Rina [2 ,3 ]
Fernandez-Penas, Pablo [1 ,2 ]
机构
[1] Univ Sydney, Westmead Hosp, Dept Dermatol, Sydney, NSW 2006, Australia
[2] Univ Sydney, Sydney Med Sch Westmead, Sydney, NSW 2006, Australia
[3] Westmead Hosp, Dept Med Oncol, Sydney, NSW, Australia
[4] Westmead Hosp, Dept Tissue Pathol & Diagnost Oncol, Sydney, NSW, Australia
关键词
acitretin; bullous lichen planus; PD-1; MELANOMA; SAFETY;
D O I
10.1097/CMR.0000000000000263
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
The introduction of immunotherapy such as antiprogrammed death1 (anti-PD1) monoclonal antibodies has changed the scenario of treatment in cancer. Apart from their impressive efficacy profiles, they are better tolerated than the anticytotoxic T-lymphocyte-associated protein 4 antibodies. Dermatological adverse events such as pruritus and rash have been reported in various clinical trials. We report three cases of anti-PD1-induced bullous lichen planus (LP)-like reactions encountered in our institution. These patients developed LP-like papules and annular plaques with vesicles or crusted centres. Histology showed LP-like changes with negative immunofluorescence. Vesiculobullous lesions in patients treated with anti-PD1 therapies require a careful clinicopathological evaluation. Copyright (C) 2016 Wolters Kluwer Health, Inc. All rights reserved.
引用
收藏
页码:421 / 424
页数:4
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