Cited by 39Vasculitis and related conditionsCancer Immunotherapy and BiomarkersEosinophilic Disorders and Syndromes

The DOI matches its Crossref record; 10 of the 10 references it cites were found in a registry or an index.

Eosinophilic granulomatosis with polyangiitis (Churg-Strauss) induced by immune checkpoint inhibitors

Open access
Roger, Anissa, Groh, Matthieu, Lorillon, Gwenael, Le Pendu, Claire, Maillet, Jeremy, Arangalage, Dimitri, Tazi, Abdellatif, Lebbe, Celeste, Baroudjian, Barouyr, Delyon, Julie·2019·Annals of the Rheumatic Diseases

Abstract

We read with great interest the articles by Kostine et al 1 (and subsequent correspondence by Arnaud et al 2) and by Belkhir et al. 3 The prognosis of various cancer types has dramatically improved since the advent of immune checkpoint inhibitors (ICIs). Yet, ICI therapy is associated with frequent and potentially organ or life-threatening immune-related adverse events (irAEs), generally mimicking autoimmune or inflammatory conditions.4 Rheumatic disorders have been reported in this setting, mainly rheumatoid arthritis, polymyalgia rheumatica and systemic lupus erythematosus.1–3 Vasculitis seems to occur more seldom, with predominantly medium-vessel to large-vessel involvement.5 Here, we report on a patient with eosinophilic granulomatosis with polyangiitis (EGPA, formerly Churg-Strauss syndrome) following treatment with ICI for a stage IV melanoma. A 34-year-old non-smoking female patient with stage IV melanoma was treated with ipilimumab (a monoclonal antibody targeting the cytotoxic T–lymphocyte associated antigen …

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  • Multiple recent reports of Eo-irAEs like eosinophilic fasciitis or eosinophilic granulomatosis with polyangiitis suggest that topical or low-dose oral corticosteroids, with or without CS-sparing treatments, can give excellent results.

    “multiple recent reports of Eo-irAEs like eosinophilic fasciitis27-30 or eosinophilic granulomatosis with polyangiitis31 suggest that topical or low-dose oral corticosteroids, with or without CS-sparing treatments, can give excellent results.”

    From Moderate-to-severe eosinophilia induced by treatment with immune checkpoint inhibitors: 37 cases from a national reference center for hypereosinophilic syndromes and the French pharmacovigilance database (2020) · cites this paper as [31]

    The EGPA case report describes rapid improvement after inhaled corticosteroids and a long-acting beta-agonist, and later treatment with inhaled therapy and an intra-articular corticosteroid injection (case description; page unavailable). It does not report treatment with topical or low-dose oral corticosteroids or a corticosteroid-sparing drug. Symptoms also worsened despite continued inhaled therapy when nivolumab was reintroduced, so the claimed excellent results from the stated regimens are not established by this case. (LLM, conf=0.86)

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Metadata

Authors
Roger, A., Groh, M., Lorillon, G., Le Pendu, C., Maillet, J., Arangalage, D., Tazi, A., Lebbe, C., Baroudjian, B., & Delyon, J.
Affiliations
  • Assistance Publique – Hôpitaux de Paris (FR)
  • Inserm (FR)
Corresponding author
Delyon, Julie
Venue
Annals of the Rheumatic Diseases
Publisher
Elsevier BV
Published
2019-08
Volume
78
Issue
8
Pages
e82-e83
ISSN
0003-4967 (ISSN-L)
OpenAlex
W2808957918
Cited by
39
References
10
Citations by year
2025: 5 · 2024: 3 · 2023: 4 · 2022: 4 · 2021: 9 · 2020: 7 · 2019: 5
Type
journal article
Language
en
Open access
Locations
  • Annals of the Rheumatic Diseases (publishedVersion)
  • PubMed (publishedVersion)
  • HighWire Press Open Archive (submittedVersion)
Funders
Amgen
Topics
  • Health Sciences › Medicine › Rheumatology › Vasculitis and related conditions
  • Health Sciences › Medicine › Oncology › Cancer Immunotherapy and Biomarkers
  • Health Sciences › Medicine › Rheumatology › Eosinophilic Disorders and Syndromes
Keywords
eosinophilic granulomatosis with polyangiitis, immune checkpoint inhibitors, nivolumab, drug-induced vasculitis, eosinophil count, metastatic melanoma
MeSH terms
Arthritis, Rheumatoid, Humans, Polymyalgia Rheumatica, Giant Cell Arteritis, Granulomatosis with Polyangiitis, Churg-Strauss Syndrome

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