Austin Health

Title
Late presentation of generalised bullous pemphigoid-like reaction in a patient treated with pembrolizumab for metastatic melanoma.
Publication Date
2017-08
Author(s)
Parakh, Sagun
Nguyen, Rebecca
Opie, Jacinta M
Andrews, Miles C
Subject
bullous pemphigoid
Immunotherapy
Melanoma
programmed death-1 inhibition
Type of document
Journal Article
DOI
10.1111/ajd.12488
Abstract
Dermatological toxicity is one of the most commonly reported immune-related adverse events in patients receiving checkpoint inhibitor immunotherapy. We report the gradual development of a widespread bullous pemphigoid-like reaction in a metastatic melanoma patient 8 months after commencing treatment with the programmed-death-1 (PD-1) inhibitor pembrolizumab, requiring prolonged corticosteroid therapy. This case highlights the potential for insidious and late development of severe cutaneous toxicity following PD-1 inhibitor therapy and suggests that even prolonged immunosuppression may not necessarily compromise the efficacy of PD-1 inhibition in advanced melanoma.
Link
Citation
The Australasian journal of dermatology 2017; 58(3): e109-e112
Jornal Title
The Australasian journal of dermatology

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