Austin Health

Title
Case of nivolumab-induced sclerosing cholangitis: lessons from long-term follow-up.
Publication Date
2020-09
Author(s)
McClure, Tess
Cui, Wanyuan
Asadi, Khashayar
John, Thomas
Testro, Adam G
Subject
autoimmune biliary disease
cancer immunobiology
cholestatic liver diseases
drug toxicity
liver function test
Type of document
Journal Article
OrcId
0000-0003-2810-7443
DOI
10.1136/bmjgast-2020-000487
Abstract
Nivolumab is an immune checkpoint inhibitor used to treat multiple solid-organ malignancies. While many of its immune-related adverse events are well established, nivolumab-induced sclerosing cholangitis remains poorly characterised, with no defined diagnostic criteria. Moreover, data regarding long-term outcomes are particularly lacking. We present a biopsy-proven case of nivolumab-induced sclerosing cholangitis, which uniquely captures 18 months of follow-up post-treatment. Our case highlights key features of intrahepatic subtype sclerosing cholangitis and suggests durable response to corticosteroid therapy.
Link
Citation
BMJ Open Gastroenterology 2020; 7(1): e000487
Jornal Title
BMJ Open Gastroenterology
ISSN
2054-4774

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