A Case of Systemic Severe Bullous Pemphigoid Caused by Long-Term Sintilimab Treatment for Renal Cell Carcinoma

被引:3
|
作者
He, Jia [1 ]
Duan, Xi [1 ]
Liu, Ting [1 ]
Yang, Hao [1 ]
Jiang, Jingjing [1 ]
Mu, Yunzhu [1 ,2 ]
机构
[1] North Sichuan Med Coll, Dept Dermatol, Affiliated Hosp, Nanchong, Peoples R China
[2] North Sichuan Med Coll, Dept Dermatol, Affiliated Hosp, 1 Maoyuan South Rd, Nanchong 637000, Sichuan, Peoples R China
来源
CLINICAL COSMETIC AND INVESTIGATIONAL DERMATOLOGY | 2022年 / 15卷
关键词
bullous pemphigoid; PD; -1; -L1; sintilimab;
D O I
10.2147/CCID.S374449
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
Immune-related adverse events have been reported in relation to programmed cell death protein-1 (PD-1). However, there are few reports on PD-1 inhibitor-induced bullous pemphigoid. We report the case of a patient who developed bullous pemphigoid following long-term administration of sintilimab for renal cell carcinoma. He developed scattered erythema, blisters, and generalized pruritus for 1 week before admission. Histopathology showed subepidermal blisters and direct immunofluorescence showed linear deposition of immunoglobulin G and complement 3 on the basement membrane; the level of BP180 was 146.93U/mL. A regimen containing methylprednisolone, minocycline, and niacinamide was administered and the patient was discharged following resolution of symptoms.
引用
收藏
页码:1611 / 1614
页数:4
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