[A case of immune-related gastroesophagitis with laryngopharyngitis caused by immune checkpoint inhibitors in nonsmall cell lung cancer].


Journal

Nihon Shokakibyo Gakkai zasshi = The Japanese journal of gastro-enterology
ISSN: 0446-6586
Titre abrégé: Nihon Shokakibyo Gakkai Zasshi
Pays: Japan
ID NLM: 2984683R

Informations de publication

Date de publication:
2024
Historique:
medline: 11 3 2024
pubmed: 11 3 2024
entrez: 10 3 2024
Statut: ppublish

Résumé

With the advent of immune checkpoint inhibitors (ICI), cancer treatment options have widened in recent years. However, ICI-specific adverse events (irAEs) have been reported. Lower gastrointestinal lesions, such as colitis and enteritis, account for most gastrointestinal irAEs, and reports of upper gastrointestinal lesions are rare. We report a rare case of gastroesophagitis associated with ICI. The patient was a 64-year-old male. He was diagnosed with lung adenocarcinoma stage IIIB (cT2aN3M0), and pembrolizumab (PEM) was started as a first-line treatment. Severe gastroesophagitis with laryngopharyngitis was confirmed 5 months after PEM administration. These improved after withdrawal of PEM and steroid administration. Reports of ICI-associated gastritis remain limited, especially with laryngopharyngitis;therefore, we consider this case as valuable, in which we confirmed the clinical features of ICI-associated gastroesophagitis and its therapeutic effects.

Identifiants

pubmed: 38462470
doi: 10.11405/nisshoshi.121.221
doi:

Types de publication

English Abstract Journal Article

Langues

jpn

Sous-ensembles de citation

IM

Pagination

221-229

Auteurs

Yasuhiro Oka (Y)

Department of Gastroenterology, Hitachi General Hospital.

Yukako Hamano (Y)

Department of Gastroenterology, Hitachi General Hospital.

Ryo Nakamura (R)

Department of Gastroenterology, Hitachi General Hospital.

Keisuke Mabuchi (K)

Department of Gastroenterology, Hitachi General Hospital.

Masanori Ochi (M)

Department of Gastroenterology, Hitachi Medical Education and Research Center, University of Tsukuba.

Yuji Yamaguchi (Y)

Department of Gastroenterology, Hitachi General Hospital.

Haruka Okawara (H)

Department of Gastroenterology, Hitachi General Hospital.

Atsushi Okawara (A)

Department of Gastroenterology, Hitachi General Hospital.

Nobushige Kakinoki (N)

Department of Gastroenterology, Hitachi General Hospital.

Toshiro Kamoshida (T)

Department of Gastroenterology, Hitachi General Hospital.

Classifications MeSH