Post-shingles granulomatous dermatosis related to anti-programmed cell death 1

Tarek Assi, Alina Danu, Christine Mateus, Caroline Robert, Jean Marie Michot, Tony Ibrahim, Julien Lazarovici, David Ghez, Julien Rossignol, Peggy Dartigues, Marie Terroir-Cassou-Mounat, Vincent Ribrag

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    9 Citations (Scopus)

    Abstract

    The most recent progress in the oncology field has led to a paradigm shift in the management of cancer with the tsunami of immune checkpoint inhibitors that are associated with a particular pattern of immunological adverse events. This is a case of a 54-year-old woman that demonstrated a granulomatous reaction in the same dermatomal distribution of a previously treated shingles infection during treatment with an anti-programmed death 1 agent (pembrolizumab) for a newly diagnosed stage IV Hodgkin lymphoma. The purpose of this case is to increase the awareness of oncologists dealing with a new pattern of side effects taking into account the patient's background and recent exposures to latent viruses such as herpes zoster to prevent unnecessary diagnostic and therapeutic measures.

    Original languageEnglish
    Pages (from-to)591-598
    Number of pages8
    JournalImmunotherapy
    Volume11
    Issue number7
    DOIs
    Publication statusPublished - 1 May 2019

    Keywords

    • Hodgkin lymphoma
    • Immune granulomatosis
    • immune checkpoint inhibitors
    • pembrolizumab
    • shingles

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