Recurrence of Pemphigus Vulgaris Under Nivolumab Therapy

For many types of cancer, immune checkpoint inhibitors have proven to be a highly effective treatment. The monoclonal anti-PD-1 antibody nivolumab stimulates the immune system and is one of the newest treatment options for non-small cell lung cancer. In doing so, immune checkpoint inhibitors can tri...

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Main Authors: Sebastian Krammer, Christian Krammer, Suzanna Salzer, Işin Sinem Bağci, Lars E. French, Daniela Hartmann
Format: Article
Language:English
Published: Frontiers Media S.A. 2019-11-01
Series:Frontiers in Medicine
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fmed.2019.00262/full
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author Sebastian Krammer
Christian Krammer
Suzanna Salzer
Işin Sinem Bağci
Lars E. French
Lars E. French
Daniela Hartmann
Daniela Hartmann
author_facet Sebastian Krammer
Christian Krammer
Suzanna Salzer
Işin Sinem Bağci
Lars E. French
Lars E. French
Daniela Hartmann
Daniela Hartmann
author_sort Sebastian Krammer
collection DOAJ
description For many types of cancer, immune checkpoint inhibitors have proven to be a highly effective treatment. The monoclonal anti-PD-1 antibody nivolumab stimulates the immune system and is one of the newest treatment options for non-small cell lung cancer. In doing so, immune checkpoint inhibitors can trigger many skin lesions that have not yet been completely investigated in their entirety. In this case report, pemphigus vulgaris is identified as a potential adverse event that occurs under the treatment with nivolumab. In addition to the standard methods, we examined our patient's samples with ex vivo confocal laser scanning microscopy. This is a new and innovative diagnostic method that uses vertical scanning to provide fast, high-resolution imaging of freshly excised tissue, even using fluorescently labeled antibodies.
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spelling doaj.art-d1f181430b77412b9623fdd80a4345202022-12-21T19:40:53ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2019-11-01610.3389/fmed.2019.00262498811Recurrence of Pemphigus Vulgaris Under Nivolumab TherapySebastian Krammer0Christian Krammer1Suzanna Salzer2Işin Sinem Bağci3Lars E. French4Lars E. French5Daniela Hartmann6Daniela Hartmann7Department of Dermatology and Allergology, University Hospital, LMU Munich, Munich, GermanyDepartment of Dermatology and Allergology, University Hospital, LMU Munich, Munich, GermanyDepartment of Dermatology, Municipal Hospital of Munich, Munich, GermanyDepartment of Dermatology and Allergology, University Hospital, LMU Munich, Munich, GermanyDepartment of Dermatology and Allergology, University Hospital, LMU Munich, Munich, GermanyDepartment of Dermatology, Municipal Hospital of Munich, Munich, GermanyDepartment of Dermatology and Allergology, University Hospital, LMU Munich, Munich, GermanyDepartment of Dermatology, Municipal Hospital of Munich, Munich, GermanyFor many types of cancer, immune checkpoint inhibitors have proven to be a highly effective treatment. The monoclonal anti-PD-1 antibody nivolumab stimulates the immune system and is one of the newest treatment options for non-small cell lung cancer. In doing so, immune checkpoint inhibitors can trigger many skin lesions that have not yet been completely investigated in their entirety. In this case report, pemphigus vulgaris is identified as a potential adverse event that occurs under the treatment with nivolumab. In addition to the standard methods, we examined our patient's samples with ex vivo confocal laser scanning microscopy. This is a new and innovative diagnostic method that uses vertical scanning to provide fast, high-resolution imaging of freshly excised tissue, even using fluorescently labeled antibodies.https://www.frontiersin.org/article/10.3389/fmed.2019.00262/fullpemphigus vulgarisnivolumabPD-1checkpoint inhibitorsautoimmune diseaseautoimmune vesiculobullous disease
spellingShingle Sebastian Krammer
Christian Krammer
Suzanna Salzer
Işin Sinem Bağci
Lars E. French
Lars E. French
Daniela Hartmann
Daniela Hartmann
Recurrence of Pemphigus Vulgaris Under Nivolumab Therapy
Frontiers in Medicine
pemphigus vulgaris
nivolumab
PD-1
checkpoint inhibitors
autoimmune disease
autoimmune vesiculobullous disease
title Recurrence of Pemphigus Vulgaris Under Nivolumab Therapy
title_full Recurrence of Pemphigus Vulgaris Under Nivolumab Therapy
title_fullStr Recurrence of Pemphigus Vulgaris Under Nivolumab Therapy
title_full_unstemmed Recurrence of Pemphigus Vulgaris Under Nivolumab Therapy
title_short Recurrence of Pemphigus Vulgaris Under Nivolumab Therapy
title_sort recurrence of pemphigus vulgaris under nivolumab therapy
topic pemphigus vulgaris
nivolumab
PD-1
checkpoint inhibitors
autoimmune disease
autoimmune vesiculobullous disease
url https://www.frontiersin.org/article/10.3389/fmed.2019.00262/full
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