Sarcoid-like reaction in malignant melanoma exacerbated with pembrolizumab therapy case report

Sarcoid Like Reaction (SLR) is a localized non-caseating epithelioid granulomatous reaction seen secondary to certain immunotherapies and malignancies. Invasive melanoma, while being associated with onset of sarcoidosis, has not shown to directly induce SLR in the literature. We present the case of...

Full description

Bibliographic Details
Main Authors: Mohammed Ahsan, Alex Ashkin, David H. Lindner, Vishal P. Patel, Andrew Lipman
Format: Article
Language:English
Published: Elsevier 2024-01-01
Series:Heliyon
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2405844024004067
_version_ 1827360884339507200
author Mohammed Ahsan
Alex Ashkin
David H. Lindner
Vishal P. Patel
Andrew Lipman
author_facet Mohammed Ahsan
Alex Ashkin
David H. Lindner
Vishal P. Patel
Andrew Lipman
author_sort Mohammed Ahsan
collection DOAJ
description Sarcoid Like Reaction (SLR) is a localized non-caseating epithelioid granulomatous reaction seen secondary to certain immunotherapies and malignancies. Invasive melanoma, while being associated with onset of sarcoidosis, has not shown to directly induce SLR in the literature. We present the case of a 68-year-old male with malignant melanoma, who was found to have SLR prior to starting immunotherapy, which worsened while on pembrolizumab. This case highlights the challenge of distinguishing between drug-induced SLR and melanoma-induced SLR, and the implications in terms of management.
first_indexed 2024-03-08T06:54:55Z
format Article
id doaj.art-6934065760d6452cab6bdbc81eb998c2
institution Directory Open Access Journal
issn 2405-8440
language English
last_indexed 2024-03-08T06:54:55Z
publishDate 2024-01-01
publisher Elsevier
record_format Article
series Heliyon
spelling doaj.art-6934065760d6452cab6bdbc81eb998c22024-02-03T06:37:13ZengElsevierHeliyon2405-84402024-01-01102e24375Sarcoid-like reaction in malignant melanoma exacerbated with pembrolizumab therapy case reportMohammed Ahsan0Alex Ashkin1David H. Lindner2Vishal P. Patel3Andrew Lipman4Naples Community Hospital, 311 9th St. N. Suite 300, Naples, FL, 34102-5804, USA; Corresponding author.Naples Community Hospital, 311 9th St. N. Suite 300, Naples, FL, 34102-5804, USANaples Community Hospital, 311 9th St N #304, Naples, FL 34102 Naples, FL, 34102-5804, USANaples Community Hospital, 1285 Creekside Blvd E, Naples, FL, 34109, USAMedical Oncology and Hematology, Florida Cancer Specialists & Research Institute, Naples West: 681 4th Avenue N, Naples, FL, 34102, USASarcoid Like Reaction (SLR) is a localized non-caseating epithelioid granulomatous reaction seen secondary to certain immunotherapies and malignancies. Invasive melanoma, while being associated with onset of sarcoidosis, has not shown to directly induce SLR in the literature. We present the case of a 68-year-old male with malignant melanoma, who was found to have SLR prior to starting immunotherapy, which worsened while on pembrolizumab. This case highlights the challenge of distinguishing between drug-induced SLR and melanoma-induced SLR, and the implications in terms of management.http://www.sciencedirect.com/science/article/pii/S2405844024004067Sarcoid-like reactionPembrolizumabSarcoidosisMelanomaCase report
spellingShingle Mohammed Ahsan
Alex Ashkin
David H. Lindner
Vishal P. Patel
Andrew Lipman
Sarcoid-like reaction in malignant melanoma exacerbated with pembrolizumab therapy case report
Heliyon
Sarcoid-like reaction
Pembrolizumab
Sarcoidosis
Melanoma
Case report
title Sarcoid-like reaction in malignant melanoma exacerbated with pembrolizumab therapy case report
title_full Sarcoid-like reaction in malignant melanoma exacerbated with pembrolizumab therapy case report
title_fullStr Sarcoid-like reaction in malignant melanoma exacerbated with pembrolizumab therapy case report
title_full_unstemmed Sarcoid-like reaction in malignant melanoma exacerbated with pembrolizumab therapy case report
title_short Sarcoid-like reaction in malignant melanoma exacerbated with pembrolizumab therapy case report
title_sort sarcoid like reaction in malignant melanoma exacerbated with pembrolizumab therapy case report
topic Sarcoid-like reaction
Pembrolizumab
Sarcoidosis
Melanoma
Case report
url http://www.sciencedirect.com/science/article/pii/S2405844024004067
work_keys_str_mv AT mohammedahsan sarcoidlikereactioninmalignantmelanomaexacerbatedwithpembrolizumabtherapycasereport
AT alexashkin sarcoidlikereactioninmalignantmelanomaexacerbatedwithpembrolizumabtherapycasereport
AT davidhlindner sarcoidlikereactioninmalignantmelanomaexacerbatedwithpembrolizumabtherapycasereport
AT vishalppatel sarcoidlikereactioninmalignantmelanomaexacerbatedwithpembrolizumabtherapycasereport
AT andrewlipman sarcoidlikereactioninmalignantmelanomaexacerbatedwithpembrolizumabtherapycasereport