Tenosynovitis Induced by an Immune Checkpoint Inhibitor: A Case Report and Literature Review
Identifieur interne : 000377 ( Main/Exploration ); précédent : 000376; suivant : 000378Tenosynovitis Induced by an Immune Checkpoint Inhibitor: A Case Report and Literature Review
Auteurs : Shoko Murakami [Japon] ; Tatsuya Nagano [Japon] ; Kyosuke Nakata [Japon] ; Akira Onishi [Japon] ; Kanoko Umezawa [Japon] ; Naoko Katsurada [Japon] ; Masatsugu Yamamoto [Japon] ; Motoko Tachihara [Japon] ; Kazuyuki Kobayashi [Japon] ; Yoshihiro Nishimura [Japon]Source :
- Internal Medicine [ 0918-2918 ] ; 2019.
Abstract
A 51-year-old man underwent second-line treatment for non-small-cell lung cancer (NSCLC) with the immune checkpoint inhibitor (ICI) pembrolizumab. On day 2 after two cycles of pembrolizumab, he presented with edema limited to the left third, fourth, and fifth fingers. Based on symptoms, laboratory results, and contrast-enhanced magnetic resonance imaging (MRI) findings, we diagnosed him with tenosynovitis. We prescribed oral prednisolone (0.5 mg/kg/day), and pembrolizumab was continued. Prednisolone immediately relieved the symptoms, and the tumor was still shrinking on day 21 after eight cycles of pembrolizumab. ICI-induced tenosynovitis was managed while continuing ICI usage, suggesting that 0.5 mg/kg/day prednisone might be effective for tenosynovitis without ICI cessation.
Url:
DOI: 10.2169/internalmedicine.2556-19
PubMed: 31243239
PubMed Central: 6815895
Affiliations:
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Medicine</wicri:regionArea><wicri:noRegion>Kobe University Graduate School of Medicine</wicri:noRegion></affiliation></author><author><name sortKey="Nagano, Tatsuya" sort="Nagano, Tatsuya" uniqKey="Nagano T" first="Tatsuya" last="Nagano">Tatsuya Nagano</name><affiliation wicri:level="1"><nlm:aff id="aff1">Division of Respiratory Medicine, Department of Internal Medicine, Kobe University Graduate School of Medicine, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Division of Respiratory Medicine, Department of Internal Medicine, Kobe University Graduate School of Medicine</wicri:regionArea><wicri:noRegion>Kobe University Graduate School of Medicine</wicri:noRegion></affiliation></author><author><name sortKey="Nakata, Kyosuke" sort="Nakata, Kyosuke" uniqKey="Nakata K" first="Kyosuke" last="Nakata">Kyosuke Nakata</name><affiliation wicri:level="1"><nlm:aff id="aff1">Division of Respiratory Medicine, Department of Internal Medicine, Kobe University Graduate School of Medicine, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Division of Respiratory Medicine, Department of Internal Medicine, Kobe University Graduate School of Medicine</wicri:regionArea><wicri:noRegion>Kobe University Graduate School of Medicine</wicri:noRegion></affiliation></author><author><name sortKey="Onishi, Akira" sort="Onishi, Akira" uniqKey="Onishi A" first="Akira" last="Onishi">Akira Onishi</name><affiliation wicri:level="1"><nlm:aff id="aff2">Department of Rheumatology and Clinical Immunology, Kobe University Graduate School of Medicine, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Rheumatology and Clinical Immunology, Kobe University Graduate School of Medicine</wicri:regionArea><wicri:noRegion>Kobe University Graduate School of Medicine</wicri:noRegion></affiliation></author><author><name sortKey="Umezawa, Kanoko" sort="Umezawa, Kanoko" uniqKey="Umezawa K" first="Kanoko" last="Umezawa">Kanoko Umezawa</name><affiliation wicri:level="1"><nlm:aff id="aff1">Division of Respiratory Medicine, Department of Internal Medicine, Kobe University Graduate School of Medicine, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Division of Respiratory Medicine, Department of Internal Medicine, Kobe University Graduate School of Medicine</wicri:regionArea><wicri:noRegion>Kobe University Graduate School of Medicine</wicri:noRegion></affiliation></author><author><name sortKey="Katsurada, Naoko" sort="Katsurada, Naoko" uniqKey="Katsurada N" first="Naoko" last="Katsurada">Naoko Katsurada</name><affiliation wicri:level="1"><nlm:aff id="aff1">Division of Respiratory Medicine, Department of Internal Medicine, Kobe University Graduate School of Medicine, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Division of Respiratory Medicine, Department of Internal Medicine, Kobe University Graduate School of Medicine</wicri:regionArea><wicri:noRegion>Kobe University Graduate School of Medicine</wicri:noRegion></affiliation></author><author><name sortKey="Yamamoto, Masatsugu" sort="Yamamoto, Masatsugu" uniqKey="Yamamoto M" first="Masatsugu" last="Yamamoto">Masatsugu Yamamoto</name><affiliation wicri:level="1"><nlm:aff id="aff1">Division of Respiratory Medicine, Department of Internal Medicine, Kobe University Graduate School of Medicine, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Division of Respiratory Medicine, Department of Internal Medicine, Kobe University Graduate School of Medicine</wicri:regionArea><wicri:noRegion>Kobe University Graduate School of Medicine</wicri:noRegion></affiliation></author><author><name sortKey="Tachihara, Motoko" sort="Tachihara, Motoko" uniqKey="Tachihara M" first="Motoko" last="Tachihara">Motoko Tachihara</name><affiliation wicri:level="1"><nlm:aff id="aff1">Division of Respiratory Medicine, Department of Internal Medicine, Kobe University Graduate School of Medicine, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Division of Respiratory Medicine, Department of Internal Medicine, Kobe University Graduate School of Medicine</wicri:regionArea><wicri:noRegion>Kobe University Graduate School of Medicine</wicri:noRegion></affiliation></author><author><name sortKey="Kobayashi, Kazuyuki" sort="Kobayashi, Kazuyuki" uniqKey="Kobayashi K" first="Kazuyuki" last="Kobayashi">Kazuyuki Kobayashi</name><affiliation wicri:level="1"><nlm:aff id="aff1">Division of Respiratory Medicine, Department of Internal Medicine, Kobe University Graduate School of Medicine, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Division of Respiratory Medicine, Department of Internal Medicine, Kobe University Graduate School of Medicine</wicri:regionArea><wicri:noRegion>Kobe University Graduate School of Medicine</wicri:noRegion></affiliation></author><author><name sortKey="Nishimura, Yoshihiro" sort="Nishimura, Yoshihiro" uniqKey="Nishimura Y" first="Yoshihiro" last="Nishimura">Yoshihiro Nishimura</name><affiliation wicri:level="1"><nlm:aff id="aff1">Division of Respiratory Medicine, Department of Internal Medicine, Kobe University Graduate School of Medicine, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Division of Respiratory Medicine, Department of Internal Medicine, Kobe University Graduate School of Medicine</wicri:regionArea><wicri:noRegion>Kobe University Graduate School of Medicine</wicri:noRegion></affiliation></author></analytic><series><title level="j">Internal Medicine</title><idno type="ISSN">0918-2918</idno><idno type="eISSN">1349-7235</idno><imprint><date when="2019">2019</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>A 51-year-old man underwent second-line treatment for non-small-cell lung cancer (NSCLC) with the immune checkpoint inhibitor (ICI) pembrolizumab. On day 2 after two cycles of pembrolizumab, he presented with edema limited to the left third, fourth, and fifth fingers. Based on symptoms, laboratory results, and contrast-enhanced magnetic resonance imaging (MRI) findings, we diagnosed him with tenosynovitis. We prescribed oral prednisolone (0.5 mg/kg/day), and pembrolizumab was continued. Prednisolone immediately relieved the symptoms, and the tumor was still shrinking on day 21 after eight cycles of pembrolizumab. ICI-induced tenosynovitis was managed while continuing ICI usage, suggesting that 0.5 mg/kg/day prednisone might be effective for tenosynovitis without ICI cessation. </p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Haanen, Jb" uniqKey="Haanen J">JB Haanen</name></author><author><name sortKey="Thienen, H" uniqKey="Thienen H">H Thienen</name></author><author><name sortKey="Blank, Cu" uniqKey="Blank C">CU Blank</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Good Jacobson, Kl" uniqKey="Good Jacobson K">KL Good-Jacobson</name></author><author><name sortKey="Szumilas, Cg" uniqKey="Szumilas C">CG Szumilas</name></author><author><name sortKey="Chen, L" uniqKey="Chen L">L Chen</name></author><author><name sortKey="Sharpe, Ah" uniqKey="Sharpe A">AH Sharpe</name></author><author><name sortKey="Tomayko, Mm" uniqKey="Tomayko M">MM Tomayko</name></author><author><name sortKey="Shlomchik, Mj" 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Santini</name></author><author><name sortKey="Rizvi, H" uniqKey="Rizvi H">H Rizvi</name></author><author><name sortKey="Plodkowski, Aj" uniqKey="Plodkowski A">AJ Plodkowski</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Japon</li></country></list><tree><country name="Japon"><noRegion><name sortKey="Murakami, Shoko" sort="Murakami, Shoko" uniqKey="Murakami S" first="Shoko" last="Murakami">Shoko Murakami</name></noRegion><name sortKey="Katsurada, Naoko" sort="Katsurada, Naoko" uniqKey="Katsurada N" first="Naoko" last="Katsurada">Naoko Katsurada</name><name sortKey="Kobayashi, Kazuyuki" sort="Kobayashi, Kazuyuki" uniqKey="Kobayashi K" first="Kazuyuki" last="Kobayashi">Kazuyuki Kobayashi</name><name sortKey="Nagano, Tatsuya" sort="Nagano, Tatsuya" uniqKey="Nagano T" first="Tatsuya" last="Nagano">Tatsuya Nagano</name><name sortKey="Nakata, Kyosuke" sort="Nakata, Kyosuke" uniqKey="Nakata K" first="Kyosuke" last="Nakata">Kyosuke Nakata</name><name sortKey="Nishimura, Yoshihiro" sort="Nishimura, Yoshihiro" uniqKey="Nishimura Y" first="Yoshihiro" last="Nishimura">Yoshihiro Nishimura</name><name sortKey="Onishi, Akira" sort="Onishi, Akira" uniqKey="Onishi A" first="Akira" last="Onishi">Akira Onishi</name><name sortKey="Tachihara, Motoko" sort="Tachihara, Motoko" uniqKey="Tachihara M" first="Motoko" last="Tachihara">Motoko Tachihara</name><name sortKey="Umezawa, Kanoko" sort="Umezawa, Kanoko" uniqKey="Umezawa K" first="Kanoko" last="Umezawa">Kanoko Umezawa</name><name sortKey="Yamamoto, Masatsugu" sort="Yamamoto, Masatsugu" uniqKey="Yamamoto M" first="Masatsugu" last="Yamamoto">Masatsugu Yamamoto</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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