Pembrolizumab-Induced Hypophysitis With Isolated Adrenocorticotropic Hormone (ACTH) Deficiency: A Rare Immune-Mediated Adverse Event.

hypophysitis immune checkpoint inhibitors (icis) immune-related adverse event (irae) pembrolizumab programmed cell death protein 1

Journal

Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737

Informations de publication

Date de publication:
05 Jun 2021
Historique:
entrez: 14 6 2021
pubmed: 15 6 2021
medline: 15 6 2021
Statut: epublish

Résumé

Pembrolizumab is an immune checkpoint inhibitor that targets the programmed cell death protein 1 antigen to stimulate an immune response against tumor cells. It has successfully induced remission in patients with severe metastatic disease, including those refractory to other chemotherapeutic regimens. Immune checkpoint inhibitors may result in immune-related adverse events affecting multiple organs, including endocrine organs, leading to thyroiditis and hypophysitis, among others. Isolated adrenocorticotropic hormone deficiency and hypophysitis have been reported in patients treated with nivolumab, another programmed cell death protein 1 inhibitor. However, clinical characteristics of these side effects associated with pembrolizumab have yet to be described in detail. We describe a case of an 85-year-old Caucasian male undergoing treatment of metastatic urothelial carcinoma with pembrolizumab, who abruptly developed hypophysitis requiring emergent intervention.

Identifiants

pubmed: 34123679
doi: 10.7759/cureus.15465
pmc: PMC8186842
doi:

Types de publication

Case Reports

Langues

eng

Pagination

e15465

Informations de copyright

Copyright © 2021, Doodnauth et al.

Déclaration de conflit d'intérêts

The authors have declared that no competing interests exist.

Références

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Auteurs

Andrew V Doodnauth (AV)

Internal Medicine, State University of New York (SUNY) Downstate Medical Center, Brooklyn, USA.

Miriam Klar (M)

Internal Medicine, State University of New York (SUNY) Downstate Medical Center, Brooklyn, USA.

Yohannes S Mulatu (YS)

Neurology, State University of New York (SUNY) Downstate Health Sciences University, Brooklyn, USA.

Zohra R Malik (ZR)

Internal Medicine, St. John's Episcopal Hospital, Far Rockaway, USA.

Krunal H Patel (KH)

Internal Medicine, State University of New York (SUNY) Downstate Health Sciences University, Brooklyn, USA.

Samy I McFarlane (SI)

Medicine and Endocrinology, State University of New York (SUNY) Downstate Medical Center, Brooklyn, USA.

Classifications MeSH