Successful Treatment of Pembrolizumab-Induced Severe Capillary Leak Syndrome and Lymphatic Capillary Dysfunction

Although capillary leak syndrome has a high mortality rate, its trigger, diagnosis, and treatment remain a challenge to clinicians because of the poor understanding of its mechanism and lack of treatment guidelines. With the extended use of immune checkpoint inhibitors in modern oncology, immune che...

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Main Authors: Haixia Qin, MD, PhD, Brittany Vlaminck, CNP, Itunu Owoyemi, MBBS, Sandra M. Herrmann, MD, Nelson Leung, MD, Svetomir N. Markovic, MD, PhD
Format: Article
Language:English
Published: Elsevier 2021-06-01
Series:Mayo Clinic Proceedings: Innovations, Quality & Outcomes
Online Access:http://www.sciencedirect.com/science/article/pii/S2542454821000047
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author Haixia Qin, MD, PhD
Brittany Vlaminck, CNP
Itunu Owoyemi, MBBS
Sandra M. Herrmann, MD
Nelson Leung, MD
Svetomir N. Markovic, MD, PhD
author_facet Haixia Qin, MD, PhD
Brittany Vlaminck, CNP
Itunu Owoyemi, MBBS
Sandra M. Herrmann, MD
Nelson Leung, MD
Svetomir N. Markovic, MD, PhD
author_sort Haixia Qin, MD, PhD
collection DOAJ
description Although capillary leak syndrome has a high mortality rate, its trigger, diagnosis, and treatment remain a challenge to clinicians because of the poor understanding of its mechanism and lack of treatment guidelines. With the extended use of immune checkpoint inhibitors in modern oncology, immune checkpoint inhibitor–associated immune-related adverse events have also expanded. We present a case of pembrolizumab-induced capillary leak syndrome and lymphatic capillary dysfunction in which the patient had an excellent clinical response to a tailored treatment strategy.
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spelling doaj.art-7965301576fc4a07bc21373ffd1b2f4a2022-12-21T18:43:19ZengElsevierMayo Clinic Proceedings: Innovations, Quality & Outcomes2542-45482021-06-0153670674Successful Treatment of Pembrolizumab-Induced Severe Capillary Leak Syndrome and Lymphatic Capillary DysfunctionHaixia Qin, MD, PhD0Brittany Vlaminck, CNP1Itunu Owoyemi, MBBS2Sandra M. Herrmann, MD3Nelson Leung, MD4Svetomir N. Markovic, MD, PhD5Department of Medicine, Mayo Clinic, Rochester, MNDepartment of Medicine, Mayo Clinic, Rochester, MNDivision of Nephrology and Hypertension, Mayo Clinic, Rochester, MNDivision of Nephrology and Hypertension, Mayo Clinic, Rochester, MNDivision of Nephrology and Hypertension, Mayo Clinic, Rochester, MNDivision of Oncology, Mayo Clinic, Rochester, MN; Correspondence: Address to Svetomir N. Markovic, MD, PhD, Division of Oncology, Mayo Clinic, 200 First St SW, Rochester, MN 55905.Although capillary leak syndrome has a high mortality rate, its trigger, diagnosis, and treatment remain a challenge to clinicians because of the poor understanding of its mechanism and lack of treatment guidelines. With the extended use of immune checkpoint inhibitors in modern oncology, immune checkpoint inhibitor–associated immune-related adverse events have also expanded. We present a case of pembrolizumab-induced capillary leak syndrome and lymphatic capillary dysfunction in which the patient had an excellent clinical response to a tailored treatment strategy.http://www.sciencedirect.com/science/article/pii/S2542454821000047
spellingShingle Haixia Qin, MD, PhD
Brittany Vlaminck, CNP
Itunu Owoyemi, MBBS
Sandra M. Herrmann, MD
Nelson Leung, MD
Svetomir N. Markovic, MD, PhD
Successful Treatment of Pembrolizumab-Induced Severe Capillary Leak Syndrome and Lymphatic Capillary Dysfunction
Mayo Clinic Proceedings: Innovations, Quality & Outcomes
title Successful Treatment of Pembrolizumab-Induced Severe Capillary Leak Syndrome and Lymphatic Capillary Dysfunction
title_full Successful Treatment of Pembrolizumab-Induced Severe Capillary Leak Syndrome and Lymphatic Capillary Dysfunction
title_fullStr Successful Treatment of Pembrolizumab-Induced Severe Capillary Leak Syndrome and Lymphatic Capillary Dysfunction
title_full_unstemmed Successful Treatment of Pembrolizumab-Induced Severe Capillary Leak Syndrome and Lymphatic Capillary Dysfunction
title_short Successful Treatment of Pembrolizumab-Induced Severe Capillary Leak Syndrome and Lymphatic Capillary Dysfunction
title_sort successful treatment of pembrolizumab induced severe capillary leak syndrome and lymphatic capillary dysfunction
url http://www.sciencedirect.com/science/article/pii/S2542454821000047
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