Cutaneous immune-related adverse events in patients with cancer treated with ICIs
JAMA Nov 03, 2021
Nadelmann ER, Yeh JE, Chen ST, et al. - Cancer treatment using immune checkpoint inhibitors (ICIs) results in many types of skin toxic effects, each with unique treatment choices beyond current published guidelines.
Literature summarizing the effective management of cutaneous immune-related adverse events (cirAEs) in patients receiving ICIs for cancer are scarce.
This systematic review included 138 eligible studies that reported on 879 cirAEs.
The following subtypes of cirAEs developed: maculopapular, pruritus, lichenoid, immunobullous, psoriasiform, granulomatous, erythema multiforme or Stevens Johnson Syndrome, drug rash with eosinophilia and systemic symptoms, connective tissue disease, hair, oral, and miscellaneous.
Common management approaches included topical corticosteroids and systemic immunomodulators, including oral/intravenous corticosteroids, antimetabolite agents, calcineurin inhibitors, and tumor necrosis factor–α inhibitors, as well as systemic antipruritics for symptomatic relief.
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