An extremely rare case of nivolumab-associated macroscopic duodenitis with spontaneous regression.

Duodenitis immune‐related adverse events nivolumab spontaneous regression

Journal

Respirology case reports
ISSN: 2051-3380
Titre abrégé: Respirol Case Rep
Pays: United States
ID NLM: 101631052

Informations de publication

Date de publication:
Jul 2020
Historique:
received: 31 03 2020
revised: 21 04 2020
accepted: 27 04 2020
entrez: 15 5 2020
pubmed: 15 5 2020
medline: 15 5 2020
Statut: epublish

Résumé

An 82-year-old man was presented to our hospital due to epigastric and right hypochondrial pain 17 weeks after the initiation of intravenous treatment with nivolumab for recurrent lung adenocarcinoma as multiple lung and sternal metastases. Urgent gastroscopy revealed macroscopic duodenitis such as severe erythema, oedema, black-coloured erosions, and ulcers located throughout the second portion of the duodenum, which was confirmed by abdominal computed tomography as circumferential thickening of the duodenal wall. Those lesions were pathologically considered as non-specific inflammation and spontaneously disappeared within a month, suggesting nivolumab-induced immune-related adverse events.

Identifiants

pubmed: 32405415
doi: 10.1002/rcr2.582
pii: RCR2582
pmc: PMC7214783
doi:

Types de publication

Case Reports

Langues

eng

Pagination

e00582

Informations de copyright

© 2020 The Authors. Respirology Case Reports published by John Wiley & Sons Australia, Ltd on behalf of The Asian Pacific Society of Respirology.

Références

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pubmed: 28662232
J Clin Oncol. 2017 Mar;35(7):785-792
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Histopathology. 2017 Mar;70(4):558-567
pubmed: 28000302

Auteurs

Takatora Akizawa (T)

Department of Respiratory Medicine Kyorin University School of Medicine Tokyo Japan.

Takeshi Saraya (T)

Department of Respiratory Medicine Kyorin University School of Medicine Tokyo Japan.

Hiroki Takakura (H)

Department of Respiratory Medicine Kyorin University School of Medicine Tokyo Japan.

Masachika Fujiwara (M)

Department of Pathology Kyorin University School of Medicine Tokyo Japan.

Haruyuki Ishii (H)

Department of Respiratory Medicine Kyorin University School of Medicine Tokyo Japan.

Hajime Takizawa (H)

Department of Respiratory Medicine Kyorin University School of Medicine Tokyo Japan.

Classifications MeSH