关键词: anti-Hu antibody anti-neuronal antibodies immune checkpoint inhibitors paraneoplastic neurological syndrome sensory polyneuropathy small cell lung cancer

Mesh : Autoantibodies Carboplatin / adverse effects Humans Lung Neoplasms / drug therapy Paraneoplastic Polyneuropathy / chemically induced diagnosis Small Cell Lung Carcinoma / complications drug therapy

来  源:   DOI:10.2169/internalmedicine.5629-20   PDF(Pubmed)

Abstract:
Paraneoplastic neurological syndromes (PNS), such as sensory polyneuropathy, are rare, and serum neuronal antibodies that are used for diagnosing this syndrome are occasionally positive. Similarly, neurological immune-related adverse events due to immune checkpoint inhibitors (ICIs) are also rare. However, their etiologies and the relationship between them remain unclear. We herein report a patient with suspected small cell lung cancer who showed sensory polyneuropathy after treatment with atezolizumab in combination with cytotoxic agents (carboplatin and etoposide) and was doubly positive for serum anti-Hu and anti-SOX-1 antibodies. Treatment with ICI and cytotoxic agents may sometimes lead to the development of PNS.
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