Late-onset Stevens-Johnson syndrome due to nivolumab use for hepatocellular carcinoma

被引:37
作者
Dasanu, Constantin A. [1 ,2 ]
机构
[1] Eisenhower Med Ctr, Lucy Curci Canc Ctr, Rancho Mirage, CA USA
[2] Univ Calif San Diego, San Diego, CA USA
关键词
MANAGEMENT; MELANOMA;
D O I
10.1177/1078155219830166
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Nivolumab is a fully human immunoglobulin G4 immune checkpoint inhibitor antibody approved for use in the treatment of several malignancies. Severe side effects such as Stevens-Johnson syndrome/toxic epidermal necrolysis (SJS/TEN) have only extremely rarely been reported with this drug. We present herein a patient who developed SJS after 16 weeks of therapy with nivolumab. A week prior to this event, he developed a pruriginous papulo-erythematous rash. Prompt recognition of this phenomenon, immune checkpoint inhibitor discontinuation and steroid therapy are necessary steps in order to avoid dismal outcomes.
引用
收藏
页码:2052 / 2055
页数:4
相关论文
共 11 条
[1]   CTLA-4 and PD-1 Pathways Similarities, Differences, and Implications of Their Inhibition [J].
Buchbinder, Elizabeth I. ;
Desai, Anupam .
AMERICAN JOURNAL OF CLINICAL ONCOLOGY-CANCER CLINICAL TRIALS, 2016, 39 (01) :98-106
[2]  
Fakoya Adegbenro Omotuyi John, 2018, Open Access Maced J Med Sci, V6, P730, DOI 10.3889/oamjms.2018.148
[3]   Overall Survival and Long-Term Safety of Nivolumab (Anti-Programmed Death 1 Antibody, BMS-936558, ONO-4538) in Patients With Previously Treated Advanced Non-Small-Cell Lung Cancer [J].
Gettinger, Scott N. ;
Horn, Leora ;
Gandhi, Leena ;
Spigel, David R. ;
Antonia, Scott J. ;
Rizvi, Naiyer A. ;
Powderly, John D. ;
Heist, Rebecca S. ;
Carvajal, Richard D. ;
Jackman, David M. ;
Sequist, Lecia V. ;
Smith, David C. ;
Leming, Philip ;
Carbone, David P. ;
Pinder-Schenck, Mary C. ;
Topalian, Suzanne L. ;
Hodi, F. Stephen ;
Sosman, Jeffrey A. ;
Sznol, Mario ;
McDermott, David F. ;
Pardoll, Drew M. ;
Sankar, Vindira ;
Ahlers, Christoph M. ;
Salvati, Mark ;
Wigginton, Jon M. ;
Hellmann, Matthew D. ;
Kollia, Georgia D. ;
Gupta, Ashok K. ;
Brahmer, Julie R. .
JOURNAL OF CLINICAL ONCOLOGY, 2015, 33 (18) :2004-U32
[4]   Cytotoxic Cutaneous Adverse Drug Reactions during Anti-PD-1 Therapy [J].
Goldinger, Simone M. ;
Stieger, Pascale ;
Meier, Barbara ;
Micaletto, Sara ;
Contassot, Emmanuel ;
French, Lars E. ;
Dummer, Reinhard .
CLINICAL CANCER RESEARCH, 2016, 22 (16) :4023-4029
[5]   Nivolumab as Programmed Death-1 (PD-1) Inhibitor for Targeted Immunotherapy in Tumor [J].
Guo, Liting ;
Zhang, Haijun ;
Chen, Baoan .
JOURNAL OF CANCER, 2017, 8 (03) :410-416
[6]   Stevens-Johnson syndrome manifesting late in the course of pembrolizumab therapy [J].
Hwang, Andrew ;
Iskandar, Andrew ;
Dasanu, Constantin A. .
JOURNAL OF ONCOLOGY PHARMACY PRACTICE, 2019, 25 (06) :1520-1522
[7]   Management of Stevens-Johnson Syndrome-Toxic Epidermal Necrolysis: Looking Beyond Guidelines! [J].
Kumar, Rajesh ;
Das, Anupam ;
Das, Sudip .
INDIAN JOURNAL OF DERMATOLOGY, 2018, 63 (02) :117-124
[8]   Stevens-Johnson syndrome during nivolumab treatment of NSCLC [J].
Salati, M. ;
Pifferi, M. ;
Baldessari, C. ;
Bertolini, F. ;
Tomasello, C. ;
Cascinu, S. ;
Barbieri, F. .
ANNALS OF ONCOLOGY, 2018, 29 (01) :283-284
[9]   Pembrolizumab-induced Stevens-Johnson syndrome in non-melanoma patients [J].
Saw, Stephanie ;
Lee, Haur Yueh ;
Ng, Quan Sing .
EUROPEAN JOURNAL OF CANCER, 2017, 81 :237-239
[10]   Management of skin adverse events associated with immune checkpoint inhibitors in patients with melanoma: A nursing perspective [J].
Thebeau, Melissa ;
Rubin, Krista ;
Hofmann, Matthias ;
Grimm, Julia ;
Weinstein, Alyona ;
Choi, Jennifer N. .
JOURNAL OF THE AMERICAN ASSOCIATION OF NURSE PRACTITIONERS, 2017, 29 (05) :294-303