关键词: Immune-related adverse events cancer immune checkpoint inhibitors immunotherapy

来  源:   DOI:10.12890/2024_004237   PDF(Pubmed)

Abstract:
We describe a rare case of polyserositis with chylous ascites following nivolumab therapy, highlighting the challenges in recognising and managing immune-related adverse events (irAEs) associated with immune checkpoint inhibitors (ICPIs). Induced polyserositis and chylous ascites are very rare and require immunosuppressive treatment, with a variable response of high-dose IV steroids.
CONCLUSIONS: Oncological therapy with immune checkpoint inhibitors (ICPIs) is frequently associated with immune-related adverse events (irAEs) most involving cutaneous, gastrointestinal and pulmonary sites.
摘要:
我们描述了在nivolumab治疗后罕见的多浆膜炎伴乳糜腹水的病例,强调在识别和管理与免疫检查点抑制剂(ICPIs)相关的免疫相关不良事件(irAE)方面的挑战。诱导的多浆膜炎和乳糜腹水非常罕见,需要免疫抑制治疗,具有高剂量静脉注射类固醇的可变反应。
结论:使用免疫检查点抑制剂(ICPIs)的肿瘤治疗通常与最累及皮肤的免疫相关不良事件(irAE)相关。胃肠道和肺部部位。
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