Successful treatment of refractory checkpoint inhibitor-induced hepatitis with quadruple therapy including extracorporeal photopheresis and infliximab
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Successful treatment of refractory checkpoint inhibitor-induced hepatitis with quadruple therapy including extracorporeal photopheresis and infliximab. / Hansen, Inga Pauline Marie; Kött, Julian; Heidenreich, Silke; Ayuk, Francis Ayuketang; Doll, Patricia Marie; Abeck, Finn; Booken, Nina; Gebhardt, Christoffer; Schneider, Stefan .
In: Journal of the European Academy of Dermatology and Venerology Clinical Practice, Vol. 3, No. 1, 01.03.2024, p. 317-320.Research output: SCORING: Contribution to journal › Case report › Research › peer-review
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TY - JOUR
T1 - Successful treatment of refractory checkpoint inhibitor-induced hepatitis with quadruple therapy including extracorporeal photopheresis and infliximab
AU - Hansen, Inga Pauline Marie
AU - Kött, Julian
AU - Heidenreich, Silke
AU - Ayuk, Francis Ayuketang
AU - Doll, Patricia Marie
AU - Abeck, Finn
AU - Booken, Nina
AU - Gebhardt, Christoffer
AU - Schneider, Stefan
PY - 2024/3/1
Y1 - 2024/3/1
N2 - Immune checkpoint inhibitors have established in the treatment of malignant melanoma and have significantly improved prognosis in advanced tumour stages. As they interfere with immunoregulatory pathways by blocking checkpoints, nonspecific activation of the immune system can result in the development of immune-related adverse events. Hepatitis occurs in 25%–30% of combination therapy and usually occurs 6–12 weeks after initiation of treatment. In most cases, the adverse event can be successfully treated with glucocorticosteroids but sometimes this is not sufficient, and further therapy is required. We report on a life-threatening course of immune-mediated hepatitis in a 39-year-old woman with metastatic melanoma, whom we were finally able to treat successfully with a combination therapy consisting of prednisolone, mycophenolate-mofetil, extracorporeal photopheresis and infliximab.
AB - Immune checkpoint inhibitors have established in the treatment of malignant melanoma and have significantly improved prognosis in advanced tumour stages. As they interfere with immunoregulatory pathways by blocking checkpoints, nonspecific activation of the immune system can result in the development of immune-related adverse events. Hepatitis occurs in 25%–30% of combination therapy and usually occurs 6–12 weeks after initiation of treatment. In most cases, the adverse event can be successfully treated with glucocorticosteroids but sometimes this is not sufficient, and further therapy is required. We report on a life-threatening course of immune-mediated hepatitis in a 39-year-old woman with metastatic melanoma, whom we were finally able to treat successfully with a combination therapy consisting of prednisolone, mycophenolate-mofetil, extracorporeal photopheresis and infliximab.
U2 - 10.1002/jvc2.288
DO - 10.1002/jvc2.288
M3 - Case report
VL - 3
SP - 317
EP - 320
JO - Journal of the European Academy of Dermatology and Venerology Clinical Practice
JF - Journal of the European Academy of Dermatology and Venerology Clinical Practice
SN - 2768-6566
IS - 1
ER -