Nivolumab-induced immune-mediated acute gastritis in a melanoma patient.

IF 1.9 4区 医学 Q3 DERMATOLOGY Melanoma Research Pub Date : 2025-06-01 Epub Date: 2025-03-21 DOI:10.1097/CMR.0000000000001034
Faruk Tas, Emel Ahishali, Orhun Cig Taskin
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Abstract

Immune-mediated acute gastritis (IMAG) is a rare side effect of nivolumab therapy. A 49-year-old patient with metastatic melanoma developed IMAG during nivolumab treatment. In the 5th month of treatment, the patient complained of epigastric pain, nausea, vomiting, loss of appetite, and weight loss. Esophagogastroduodenoscopy and biopsy were performed, and the diagnosis of IMAG was pathologically confirmed. In addition to the discontinuation of nivolumab treatment, proton pump inhibitor and corticosteroid treatment were administered, and the complaints of the patient disappeared after 1 week. Since nivolumab is frequently used in melanoma patients, IMAG should be considered and diagnostic procedures should be performed in patients with symptoms suggestive of acute gastritis during treatment, although it rarely develops.

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一名黑色素瘤患者因免疫介导的急性胃炎而服用 Nivolumab。
免疫介导的急性胃炎(IMAG)是纳武单抗治疗的罕见副作用。一名49岁的转移性黑色素瘤患者在纳沃单抗治疗期间出现了IMAG。治疗第5个月,患者主诉胃脘痛、恶心、呕吐、食欲不振、体重减轻。行食管胃十二指肠镜检查及活检,病理证实影像学诊断。在停止纳武单抗治疗的同时,给予质子泵抑制剂和皮质类固醇治疗,患者的主诉在1周后消失。由于nivolumab经常用于黑色素瘤患者,因此在治疗期间出现提示急性胃炎症状的患者应考虑使用IMAG,并应进行诊断程序,尽管这种情况很少发生。
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来源期刊
Melanoma Research
Melanoma Research 医学-皮肤病学
CiteScore
3.40
自引率
4.50%
发文量
139
审稿时长
6-12 weeks
期刊介绍: ​​​​​​Melanoma Research is a well established international forum for the dissemination of new findings relating to melanoma. The aim of the Journal is to promote the level of informational exchange between those engaged in the field. Melanoma Research aims to encourage an informed and balanced view of experimental and clinical research and extend and stimulate communication and exchange of knowledge between investigators with differing areas of expertise. This will foster the development of translational research. The reporting of new clinical results and the effect and toxicity of new therapeutic agents and immunotherapy will be given emphasis by rapid publication of Short Communications. ​Thus, Melanoma Research seeks to present a coherent and up-to-date account of all aspects of investigations pertinent to melanoma. Consequently the scope of the Journal is broad, embracing the entire range of studies from fundamental and applied research in such subject areas as genetics, molecular biology, biochemistry, cell biology, photobiology, pathology, immunology, and advances in clinical oncology influencing the prevention, diagnosis and treatment of melanoma.
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