Neurosarcoidosis following Immune Checkpoint Inhibition.

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Date

2018-05

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Abstract

Recently, immune checkpoint inhibitors have revolutionized cancer care by enhancing anti-tumor immunity. However, by virtue of stimulating the immune system, they can lead to immune-related adverse events (irAEs). Neurologic irAEs are uncommon but are becoming increasingly recognized and can be quite serious or even fatal. Furthermore, central nervous system (CNS) manifestations may be difficult to distinguish from CNS metastases, posing management challenges. Here, we describe a patient who developed exacerbation of sarcoidosis leading to CNS involvement following dual checkpoint blockade with nivolumab and ipilimumab for metastatic melanoma and review the relevant literature.

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Immune checkpoint inhibitor, Immune-related adverse event, Immunotherapy, Ipilimumab, Neurosarcoidosis, Nivolumab

Citation

Published Version (Please cite this version)

10.1159/000491599

Publication Info

Dunn-Pirio, Anastasie M, Suma Shah and Christopher Eckstein (2018). Neurosarcoidosis following Immune Checkpoint Inhibition. Case reports in oncology, 11(2). pp. 521–526. 10.1159/000491599 Retrieved from https://hdl.handle.net/10161/17398.

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Scholars@Duke

Shah

Suma Shah

Associate Professor of Neurology
Eckstein

Christopher Paul Eckstein

Associate Professor of Neurology

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