Arthritis Post-Immunotherapy for Endometrial Cancer: a case report and review of literature on the acute onset of inflammatory arthritis following PD-I inhibitor therapy in a patient with recurrent endometrial cancer

Since gaining FDA approval in 2014, pembrolizumab, a PD-1 immune checkpoint inhibitor, has been utilized in the management of cancers that progress following first-line therapy.While the pathological response to pembrolizumab is favorable, immune related adverse events (irAEs) can be elicited and re...

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Main Authors: Sydney Graham, Emily Sloane, Nadim Bou Zgheib
Format: Article
Language:English
Published: Marshall University 2021-04-01
Series:Marshall Journal of Medicine
Subjects:
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author Sydney Graham
Emily Sloane
Nadim Bou Zgheib
author_facet Sydney Graham
Emily Sloane
Nadim Bou Zgheib
author_sort Sydney Graham
collection DOAJ
description Since gaining FDA approval in 2014, pembrolizumab, a PD-1 immune checkpoint inhibitor, has been utilized in the management of cancers that progress following first-line therapy.While the pathological response to pembrolizumab is favorable, immune related adverse events (irAEs) can be elicited and require prompt diagnosis and management based on grading and severity, which can include discontinuation of immunotherapy.Our case concerns a 66-year-old female with recurrent endometrial cancer who was treated with pembrolizumab, and developed inflammatory arthritis following therapy. We provide a succinct review of the pathogenesis and risk factors associated with irAEs, as well as diagnosis and management strategies.
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spelling doaj.art-b4d6eb0c462b45a3a2a308d4772002172022-12-22T01:53:59ZengMarshall UniversityMarshall Journal of Medicine2379-95362021-04-017210.33470/2379-9536.1326Arthritis Post-Immunotherapy for Endometrial Cancer: a case report and review of literature on the acute onset of inflammatory arthritis following PD-I inhibitor therapy in a patient with recurrent endometrial cancerSydney Graham0Emily Sloane1Nadim Bou Zgheib2Joan C. Edwards School of Medicine, Marshall UniversityJoan C. Edwards School of Medicine, Marshall UniversityEdwards Comprehensive Cancer CenterSince gaining FDA approval in 2014, pembrolizumab, a PD-1 immune checkpoint inhibitor, has been utilized in the management of cancers that progress following first-line therapy.While the pathological response to pembrolizumab is favorable, immune related adverse events (irAEs) can be elicited and require prompt diagnosis and management based on grading and severity, which can include discontinuation of immunotherapy.Our case concerns a 66-year-old female with recurrent endometrial cancer who was treated with pembrolizumab, and developed inflammatory arthritis following therapy. We provide a succinct review of the pathogenesis and risk factors associated with irAEs, as well as diagnosis and management strategies.pembrolizumabimmunotherapyimmune-related adverse eventinflammatory arthritisendometrial cancerarthralgia
spellingShingle Sydney Graham
Emily Sloane
Nadim Bou Zgheib
Arthritis Post-Immunotherapy for Endometrial Cancer: a case report and review of literature on the acute onset of inflammatory arthritis following PD-I inhibitor therapy in a patient with recurrent endometrial cancer
Marshall Journal of Medicine
pembrolizumab
immunotherapy
immune-related adverse event
inflammatory arthritis
endometrial cancer
arthralgia
title Arthritis Post-Immunotherapy for Endometrial Cancer: a case report and review of literature on the acute onset of inflammatory arthritis following PD-I inhibitor therapy in a patient with recurrent endometrial cancer
title_full Arthritis Post-Immunotherapy for Endometrial Cancer: a case report and review of literature on the acute onset of inflammatory arthritis following PD-I inhibitor therapy in a patient with recurrent endometrial cancer
title_fullStr Arthritis Post-Immunotherapy for Endometrial Cancer: a case report and review of literature on the acute onset of inflammatory arthritis following PD-I inhibitor therapy in a patient with recurrent endometrial cancer
title_full_unstemmed Arthritis Post-Immunotherapy for Endometrial Cancer: a case report and review of literature on the acute onset of inflammatory arthritis following PD-I inhibitor therapy in a patient with recurrent endometrial cancer
title_short Arthritis Post-Immunotherapy for Endometrial Cancer: a case report and review of literature on the acute onset of inflammatory arthritis following PD-I inhibitor therapy in a patient with recurrent endometrial cancer
title_sort arthritis post immunotherapy for endometrial cancer a case report and review of literature on the acute onset of inflammatory arthritis following pd i inhibitor therapy in a patient with recurrent endometrial cancer
topic pembrolizumab
immunotherapy
immune-related adverse event
inflammatory arthritis
endometrial cancer
arthralgia
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AT emilysloane arthritispostimmunotherapyforendometrialcanceracasereportandreviewofliteratureontheacuteonsetofinflammatoryarthritisfollowingpdiinhibitortherapyinapatientwithrecurrentendometrialcancer
AT nadimbouzgheib arthritispostimmunotherapyforendometrialcanceracasereportandreviewofliteratureontheacuteonsetofinflammatoryarthritisfollowingpdiinhibitortherapyinapatientwithrecurrentendometrialcancer