Immune checkpoint inhibitor-related acral vasculitis
Thibault Comont, Vincent Sibaud, Loı̈c Mourey, Pierre Cougoul, Odile Beyne-Rauzy
Abstract
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Thibault Comont, Vincent Sibaud, Loı̈c Mourey, Pierre Cougoul, Odile Beyne-Rauzy
Abstract
Open-access reader
Commentary on « Ipilimumab induced vasculitis » by Padda A. et al., J Immunother Cancer. 2018;6:12. The authors diagnosed a small vessel vasculitis following treatment with anti-CTLA-4 (ipilimumab) for a resected stage III B/C melanoma. We report a similar case of acral vasculitis occurring with a combination of anti-CTLA-4 (tremelimumab) and anti-PD-L1 (durvalumab) prescribed for the management of a metastatic urothelial bladder cancer. In contrast to Padda A. et al., we observed a significant improvement with oral corticosteroids.
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Commentary on « Ipilimumab induced vasculitis » by Padda A. et al., J Immunother Cancer. 2018;6:12. The authors diagnosed a small vessel vasculitis following treatment with anti-CTLA-4 (ipilimumab) for a resected stage III B/C melanoma. We report a similar case of acral vasculitis occurring with a combination of anti-CTLA-4 (tremelimumab) and anti-PD-L1 (durvalumab) prescribed for the management of a metastatic urothelial bladder cancer. In contrast to Padda A. et al., we observed a significant improvement with oral corticosteroids.
Key concepts: Ipilimumab, Tremelimumab, Durvalumab, Medicine, Vasculitis, Nivolumab, CTLA-4, Internal medicine