Linear Depigmented Macules and Patches in an Elderly Man

Maansi Kulkarni, Sean Igelman, J. Trevino, C. Conner
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Abstract

The development of immune checkpoint inhibitors such as programmed cell-death receptor 1 (PD-1) antagonists has rapidly advanced chemotherapy within the last several decades. PD-1 targeted immunotherapy drugs like pembrolizumab, ipilimumab, nivolumab, and durvalumab have known associations with several immune-mediated dermatological reactions. We report a case in which an elderly male experienced segmental vitiligo after use of durvalumab therapy for small cell lung cancer. Distinct from non-segmental vitiligo, segmental vitiligo presents in a unilateral blaschkoid distribution and typically does not cross the midline. To our knowledge, checkpoint inhibitor-induced segmental vitiligo has yet to be documented.
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老年男性线状脱色斑和斑块
免疫检查点抑制剂如程序性细胞死亡受体1(PD-1)拮抗剂的开发在过去几十年中迅速推进了化疗。PD-1靶向免疫治疗药物,如pembrolizumab、ipilimumab、nivolumab和durvalumab,已知与几种免疫介导的皮肤病反应有关。我们报告了一例老年男性在使用杜伐单抗治疗小细胞肺癌癌症后出现节段性白癜风的病例。与非节段性白癜风不同的是,节段性白斑呈单侧裂孔样分布,通常不越过中线。据我们所知,检查点抑制剂诱导的节段性白癜风尚待证实。
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