Bullous pemphigoid induced by nivolumab in a patient with malignant melanoma

Eriko Adachi, Erina Yokoyama, Yuna Yamagami, Reiko Koga, Yoshiaki Yoshikawa

Article ID: 1210
Vol 4, Issue 1, 2020

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Abstract


Immune checkpoint inhibitors, such as nivolumab, have been recognized that the enhanced immune responses often lead to immune-related adverse events (irAEs) in various organs. Although cutaneous toxicity is one of the most common irAEs, bullous pemphigoid (BP) with immune checkpoint inhibitors is rare. Herein, the authors report a case of BP in a patient of the metastatic malignant melanoma of the brain under the treatment of nivolumab. It is notable that this case showed the clear correlation between the status of using of nivolumab and serum levels of anti-BP180 antibody. In addition, the skin eruptions in the case were mainly pruritic erosive or crusted papules and these clinical features may be the clinical characteristics of BP induced by nivolumab.


Keywords


Immune-related Adverse Events (irAEs); Immune Checkpoint Inhibitors; Nivolumab; Bullous Pemphigoid (BP); Malignant Melanoma

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References


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DOI: https://doi.org/10.24294/ti.v4.i1.1210

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