Releasing the brakes: a case report of pulmonary arterial hypertension induced by immune checkpoint inhibitor therapy

被引:13
作者
Glick, Matthew [1 ]
Baxter, Chase [1 ]
Lopez, David [1 ]
Mufti, Kashif [2 ]
Sawada, Stephen [3 ]
Lahm, Tim [4 ,5 ]
机构
[1] Indiana Univ Sch Med, Dept Med, Internal Med Residency Program, Indianapolis, IN 46202 USA
[2] Indiana Univ Sch Med, Dept Med, Div Rheumatol, Indianapolis, IN 46202 USA
[3] Indiana Univ Sch Med, Krannert Inst Cardiol, Dept Med, Indianapolis, IN 46202 USA
[4] Indiana Univ Sch Med, Div Pulm Crit Care Sleep & Occupat Med, Dept Med, Indianapolis, IN 46202 USA
[5] Richard L Roudebush VA Med Ctr, Indianapolis, IN USA
关键词
autoimmune disease; durvalumab; immunotherapy; programmed death-ligand 1 inhibitor; right heart failure;
D O I
10.1177/2045894020960967
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Immune checkpoint inhibitors successfully treat various malignancies by inducing an immune response to tumor cells. However, their use has been associated with a variety of autoimmune disorders, such as diabetes, hepatitis, and pneumonitis. Pulmonary arterial hypertension due to checkpoint inhibitor use has not yet been described. We present a novel case of pulmonary arterial hypertension associated with systemic lupus erythematosus and Sjogren's syndrome overlap that was induced by therapy with the checkpoint inhibitor durvalumab.
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页数:4
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