Case Report: Resolution of remitting seronegative symmetrical synovitis with pitting edema during nivolumab therapy for gastric cancer

The anti-programmed cell death-1 (PD-1) antibody nivolumab has been shown to significantly prolong the survival of patients with unresectable advanced or recurrent gastric cancer (AGC). However, immune-related adverse events (irAEs), which show different profiles from those of cytotoxic agents or co...

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Main Authors: Hirofumi Ohmura, Moe Kondo, Masato Uenomachi, Hiroshi Ariyama, Mamoru Ito, Kenji Tsuchihashi, Masahiro Ayano, Hiroaki Niiro, Koichi Akashi, Eishi Baba
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-10-01
Series:Frontiers in Oncology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2023.1260818/full
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author Hirofumi Ohmura
Moe Kondo
Masato Uenomachi
Hiroshi Ariyama
Mamoru Ito
Kenji Tsuchihashi
Masahiro Ayano
Hiroaki Niiro
Koichi Akashi
Eishi Baba
author_facet Hirofumi Ohmura
Moe Kondo
Masato Uenomachi
Hiroshi Ariyama
Mamoru Ito
Kenji Tsuchihashi
Masahiro Ayano
Hiroaki Niiro
Koichi Akashi
Eishi Baba
author_sort Hirofumi Ohmura
collection DOAJ
description The anti-programmed cell death-1 (PD-1) antibody nivolumab has been shown to significantly prolong the survival of patients with unresectable advanced or recurrent gastric cancer (AGC). However, immune-related adverse events (irAEs), which show different profiles from those of cytotoxic agents or conventional molecular-targeted drugs including tyrosine kinase inhibitors, have been reported. Remitting seronegative symmetrical synovitis with pitting edema (RS3PE) is a rare autoimmune disorder with acute-onset, rheumatoid factor-negative, symmetric synovitis associated with limb edema observed in elderly persons. A case of RS3PE syndrome that developed after administration of nivolumab for advanced gastric cancer is reported. This is the first report of a case of RS3PE syndrome as an irAE caused by nivolumab in a patient with gastric cancer.
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spelling doaj.art-64ec702a8066473396e5b1fb9e89851f2023-10-05T19:23:44ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2023-10-011310.3389/fonc.2023.12608181260818Case Report: Resolution of remitting seronegative symmetrical synovitis with pitting edema during nivolumab therapy for gastric cancerHirofumi Ohmura0Moe Kondo1Masato Uenomachi2Hiroshi Ariyama3Mamoru Ito4Kenji Tsuchihashi5Masahiro Ayano6Hiroaki Niiro7Koichi Akashi8Eishi Baba9Department of Oncology and Social Medicine, Kyushu University Graduate School of Medical Sciences, Fukuoka, JapanDepartment of Medicine and Biosystemic Science, Kyushu University Graduate School of Medical Sciences, Fukuoka, JapanDepartment of Diabetes Mellitus and Endocrinology, Nanpuh Hospital, Kagoshima, JapanDepartment of Oncology, Kitakyushu Municipal Medical Center, Fukuoka, JapanDepartment of Medicine and Biosystemic Science, Kyushu University Graduate School of Medical Sciences, Fukuoka, JapanDepartment of Medicine and Biosystemic Science, Kyushu University Graduate School of Medical Sciences, Fukuoka, JapanDepartment of Medicine and Biosystemic Science, Kyushu University Graduate School of Medical Sciences, Fukuoka, JapanDepartment of Medical Education, Kyushu University Faculty of Medical Sciences, Fukuoka, JapanDepartment of Medicine and Biosystemic Science, Kyushu University Graduate School of Medical Sciences, Fukuoka, JapanDepartment of Oncology and Social Medicine, Kyushu University Graduate School of Medical Sciences, Fukuoka, JapanThe anti-programmed cell death-1 (PD-1) antibody nivolumab has been shown to significantly prolong the survival of patients with unresectable advanced or recurrent gastric cancer (AGC). However, immune-related adverse events (irAEs), which show different profiles from those of cytotoxic agents or conventional molecular-targeted drugs including tyrosine kinase inhibitors, have been reported. Remitting seronegative symmetrical synovitis with pitting edema (RS3PE) is a rare autoimmune disorder with acute-onset, rheumatoid factor-negative, symmetric synovitis associated with limb edema observed in elderly persons. A case of RS3PE syndrome that developed after administration of nivolumab for advanced gastric cancer is reported. This is the first report of a case of RS3PE syndrome as an irAE caused by nivolumab in a patient with gastric cancer.https://www.frontiersin.org/articles/10.3389/fonc.2023.1260818/fullgastric cancerRS3PEirAEnivolumabpathology
spellingShingle Hirofumi Ohmura
Moe Kondo
Masato Uenomachi
Hiroshi Ariyama
Mamoru Ito
Kenji Tsuchihashi
Masahiro Ayano
Hiroaki Niiro
Koichi Akashi
Eishi Baba
Case Report: Resolution of remitting seronegative symmetrical synovitis with pitting edema during nivolumab therapy for gastric cancer
Frontiers in Oncology
gastric cancer
RS3PE
irAE
nivolumab
pathology
title Case Report: Resolution of remitting seronegative symmetrical synovitis with pitting edema during nivolumab therapy for gastric cancer
title_full Case Report: Resolution of remitting seronegative symmetrical synovitis with pitting edema during nivolumab therapy for gastric cancer
title_fullStr Case Report: Resolution of remitting seronegative symmetrical synovitis with pitting edema during nivolumab therapy for gastric cancer
title_full_unstemmed Case Report: Resolution of remitting seronegative symmetrical synovitis with pitting edema during nivolumab therapy for gastric cancer
title_short Case Report: Resolution of remitting seronegative symmetrical synovitis with pitting edema during nivolumab therapy for gastric cancer
title_sort case report resolution of remitting seronegative symmetrical synovitis with pitting edema during nivolumab therapy for gastric cancer
topic gastric cancer
RS3PE
irAE
nivolumab
pathology
url https://www.frontiersin.org/articles/10.3389/fonc.2023.1260818/full
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