Abstract
Immune checkpoint inhibitors (ICIs) are increasingly used in cancer therapy and can have unintended side effects affecting several organ systems. Immune-related cutaneous adverse events (irCAEs) are the most frequent and earliest toxicities to arise. The most common irCAEs include maculopapular/morbilliform rash, pruritus, eczematous dermatoses, urticaria, lichenoid reactions, psoriasiform eruptions, and vitiligo. Interestingly, irCAEs are associated with an improved tumor response rate and positive prognosis in melanoma patients. Most irCAEs are mild and reversible, but when severe, they can drastically affect quality of life and cancer treatment course. Treatment is still an active area of research and depends on the rash severity. Management options include observation, topical and systemic corticosteroids, and various biologic and immunomodulatory therapies. This chapter outlines the epidemiology, clinical characteristics, evaluation, and management of irCAEs following ICI treatment.
Original language | English (US) |
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Title of host publication | Managing Immunotherapy Related Organ Toxicities |
Subtitle of host publication | A Practical Guide |
Publisher | Springer International Publishing |
Pages | 29-58 |
Number of pages | 30 |
ISBN (Electronic) | 9783031002410 |
ISBN (Print) | 9783031002403 |
DOIs | |
State | Published - Jan 1 2022 |
Externally published | Yes |
Keywords
- CTLA-4 inhibitor
- Cutaneous adverse events
- Dermatologic toxicities
- Immune checkpoint inhibitors
- Immune-related cutaneous adverse events
- PD-1 inhibitor
- PD-L1 inhibitor
ASJC Scopus subject areas
- General Medicine
- General Immunology and Microbiology