Title |
Acute visual loss after ipilimumab treatment for metastatic melanoma
|
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Published in |
Journal for Immunotherapy of Cancer, October 2016
|
DOI | 10.1186/s40425-016-0170-9 |
Pubmed ID | |
Authors |
Melissa A. Wilson, Kelly Guld, Steven Galetta, Ryan D. Walsh, Julia Kharlip, Madhura Tamhankar, Suzanne McGettigan, Lynn M. Schuchter, Leslie A. Fecher |
Abstract |
Ipilimumab, a humanized CLTA-4 antibody is a standard therapy in the treatment of advanced melanoma. While ipilimumab provides an overall survival benefit to patients, it can be associated with immune related adverse events (IrAEs). Here we describe a patient treated with ipilimumab who experienced known IrAEs, including hypophysitis, as well as a profound vision loss due to optic neuritis. There are rare reports of optic neuritis occurring as an adverse event associated with ipilimumab treatment. Furthermore, the patient experienced multiple complications from high dose steroids used to manage his IrAEs. This case highlights the need for recognition of atypical immune mediated processes associated with newer checkpoint inhibitor therapies including ipilimumab. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 2 | 33% |
Unknown | 4 | 67% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 3 | 50% |
Practitioners (doctors, other healthcare professionals) | 2 | 33% |
Science communicators (journalists, bloggers, editors) | 1 | 17% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 65 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Doctoral Student | 12 | 18% |
Student > Bachelor | 10 | 15% |
Student > Postgraduate | 8 | 12% |
Unspecified | 5 | 8% |
Student > Master | 4 | 6% |
Other | 15 | 23% |
Unknown | 11 | 17% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 32 | 49% |
Unspecified | 5 | 8% |
Agricultural and Biological Sciences | 3 | 5% |
Immunology and Microbiology | 3 | 5% |
Neuroscience | 3 | 5% |
Other | 5 | 8% |
Unknown | 14 | 22% |