Pd-1 inhibitors immune-mediated side effects
Main Article Content
Abstract
Monoclonal antibodies that inhibit PD-1 and CTLA-4 control points are currently used in the treatment of melanoma and metastatic non-small cell lung cancer, among others. The case of a patient, with lung cancer being treated with Pembrolizumab. The patient was presented with facial edema and peripheral facial paralysis and in the laboratory the elevated hormone Tyrotrophin (TSH) was observed, the diagnosis of pembrolizumab hypothyroidism was reached. She started treatment with levothyroxine with clinical improvement. This case is presented by the important role of the dermatologist in the multidisciplinary management of the cancer patient.
Downloads
Article Details
Section

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
How to Cite
References
Human Vaccines & Immunotherapeutics: News. Hum Vaccin Immunother. 2018; 14(1):9-10. DOI: https://doi.org/10.1080/21645515.2018.1419757
Iyer PC, Cabanillas ME, Waguespack SG, et al. Immune-Related Thyroiditis with Immune Checkpoint Inhibitors. Thyroid. 2018; 28(10):1243-51. DOI: https://doi.org/10.1089/thy.2018.0116
de Filette J, Jansen Y, Schreuer M, et al. Incidence of Thyroid-Related Adverse Events in Melanoma Patients Treated With Pembrolizumab. J Clin Endocrinol Metab. 2016; 101(11):4431-9. DOI: https://doi.org/10.1210/jc.2016-2300
Abdel-Wahab N, Shah M, Suárez-Almazor ME. Adverse Events Associated with Immune Checkpoint Blockade in Patients with Cancer: A Systematic Review of Case Reports. PLOS ONE. 2016; 11(7):e0160221. DOI: https://doi.org/10.1371/journal.pone.0160221
Osorio JC, Ni A, Chaft JE, et al. Antibody-mediated thyroid dysfunction during T-cell checkpoint blockade in patients with non-small-cell lung cancer. Ann Oncol. 2017; 28(3):583-9. DOI: https://doi.org/10.1093/annonc/mdw640
González-Rodríguez E, Rodríguez-Abreu D. Immune Checkpoint Inhibitors: Review and Management of Endocrine Adverse Events. Oncologist. 2016; 21(7):804-16. DOI: https://doi.org/10.1634/theoncologist.2015-0509
Wang P-F, Chen Y, Song S-Y, et al. Immune-Related Adverse Events Associated with Anti-PD-1/PD-L1 Treatment for Malignancies: A Meta-Analysis. Front Pharmacol. 2017; 8:730. DOI: https://doi.org/10.3389/fphar.2017.00730