Toxic epidermal necrolysis occurring with immune checkpoint inhibitors

مرکز و کتابخانه مطالعات اسلامی به زبان های اروپایی

منو

" Toxic epidermal necrolysis occurring with immune checkpoint inhibitors "
Gopee, Nusayhah Hudaa; Gourley, Allison Michelle; Oliphant, Thomas James; Hampton, Philip Jeremy

Document Type	:	AL
Record Number	:	923256
Doc. No	:	LA8fc428f6
Language of Document	:	English
Main Entry	:	Gopee, Nusayhah Hudaa; Gourley, Allison Michelle; Oliphant, Thomas James; Hampton, Philip Jeremy
Title & Author	:	Toxic epidermal necrolysis occurring with immune checkpoint inhibitors [Article]\ Gopee, Nusayhah Hudaa; Gourley, Allison Michelle; Oliphant, Thomas James; Hampton, Philip Jeremy
Title of Periodical	:	Dermatology Online Journal
Volume/ Issue Number	:	26/8
Date	:	2020
Abstract	:	Nivolumab and ipilimumab are immune checkpoint inhibitors (ICIs) used in the management of advanced malignancies including malignant melanoma. Although several cutaneous adverse events have been reported with these immunotherapy agents, toxic epidermal necrolysis (TEN) secondary to ICIs is rare. We report a 67-year-old man with TEN occurring during nivolumab and ipilimumab co-therapy and review published cases to highlight the challenges in recognizing and managing these patients. ICI-induced TEN can present atypically with delayed onset in comorbid, immunosuppressed patients with an associated high mortality rate. Prompt recognition and drug withdrawal are essential to improve outcomes. High dose systemic corticosteroid has also been recommended for the management of ICI-induced TEN, unlike other drug-induced TEN for which optimal immunomodulatory treatment is still debated.