A case of coagulation factor V inhibitor induced by immune checkpoint inhibitor therapy.

factor V inhibitors haemophilia hem‐irAE immune checkpoint inhibitors

Journal

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

Informations de publication

Date de publication:
Feb 2024
Historique:
received: 22 12 2023
accepted: 08 02 2024
medline: 15 2 2024
pubmed: 15 2 2024
entrez: 15 2 2024
Statut: epublish

Résumé

A 73-year-old woman with lung adenocarcinoma (cT4N3M1a: Stage IVA) was treated with atezolizumab as the eighth line of therapy. Four weeks after the fourth dose of atezolizumab, the prothrombin time (PT) and activated thromboplastin time (APTT) were prolonged. Coagulation factor V (FV) activity was decreased, and FV inhibitors were observed. There was no history of PT or APTT prolongation or bleeding before the use of atezolizumab. Atezolizumab-induced coagulation FV inhibitor was diagnosed. After 2 weeks, the PT and APTT spontaneously normalized. FV activity improved and the FV inhibitors disappeared after 6 and 9 weeks, respectively.

Identifiants

pubmed: 38356863
doi: 10.1002/rcr2.1307
pii: RCR21307
pmc: PMC10866682
doi:

Types de publication

Case Reports

Langues

eng

Pagination

e01307

Informations de copyright

© 2024 The Authors. Respirology Case Reports published by John Wiley & Sons Australia, Ltd on behalf of The Asian Pacific Society of Respirology.

Déclaration de conflit d'intérêts

None declared.

Auteurs

Yuki Haruta (Y)

Department of Respiratory Medicine Osaka Saiseikai Nakatsu Hospital Osaka Japan.

Masanori Azuma (M)

Department of Respiratory Medicine Osaka Saiseikai Nakatsu Hospital Osaka Japan.

Toshikatsu Sado (T)

Department of Respiratory Medicine Osaka Saiseikai Nakatsu Hospital Osaka Japan.

Ryuichi Saito (R)

Department of Respiratory Medicine Osaka Saiseikai Nakatsu Hospital Osaka Japan.

Yoshimune Miyazaki (Y)

Department of Respiratory Medicine Osaka Saiseikai Nakatsu Hospital Osaka Japan.

Akihiro Noda (A)

Department of Respiratory Medicine Osaka Saiseikai Nakatsu Hospital Osaka Japan.

Reina Kitagawa (R)

Department of Respiratory Medicine Osaka Saiseikai Nakatsu Hospital Osaka Japan.

Yasutaka Hori (Y)

Department of Respiratory Medicine Osaka Saiseikai Nakatsu Hospital Osaka Japan.

Sayaka Fujimoto (S)

Department of Respiratory Medicine Osaka Saiseikai Nakatsu Hospital Osaka Japan.

Yoshinori Hasegawa (Y)

Department of Respiratory Medicine Osaka Saiseikai Nakatsu Hospital Osaka Japan.

Tetsuya Ueda (T)

Department of Respiratory Medicine Osaka Saiseikai Nakatsu Hospital Osaka Japan.

Ryosuke Yamamura (R)

Department of Hematology Osaka Saiseikai Nakatsu Hospital Osaka Japan.

Classifications MeSH