SEVERE MULTIFOCAL PLACOID CHORIORETINITIS ASSOCIATED WITH IMMUNE CHECKPOINT INHIBITOR THERAPY.

Jeffrey J Yu, Lesley Everett, Therese M Sassalos, Mark W Johnson
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Abstract

Purpose: To report a case of severe bilateral multifocal placoid chorioretinitis in a patient receiving ipilimumab and nivolumab therapy for metastatic melanoma.

Methods: Retrospective, observational case report.

Results: A 31-year-old woman on ipilimumab and nivolumab for metastatic melanoma developed severe multifocal placoid chorioretinitis in both eyes. The patient was started on topical and systemic corticosteroid therapy, and immune checkpoint inhibitor therapy was paused. After resolution of ocular inflammation, the patient was restarted on immune checkpoint inhibitor therapy without return of ocular symptoms.

Conclusion: Extensive multifocal placoid chorioretinitis may occur in patients undergoing immune checkpoint inhibitor therapy. Some patients with immune checkpoint inhibitor-related uveitis may successfully resume immune checkpoint inhibitor therapy under close collaboration with the treating oncologist.

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与免疫检查点抑制剂治疗相关的严重多灶性浆液性脉络膜视网膜炎。
目的:报告一例接受伊匹单抗和尼伐单抗治疗的转移性黑色素瘤患者发生严重双侧多灶性浆液性脉络膜视网膜炎的病例:方法:回顾性观察病例报告:一名31岁的女性患者因转移性黑色素瘤接受了伊匹单抗和尼夫单抗治疗,双眼出现了严重的多灶性浆液性脉络膜视网膜炎。患者开始接受局部和全身皮质类固醇治疗,并暂停了免疫检查点抑制剂治疗。眼部炎症缓解后,患者重新开始接受免疫检查点抑制剂治疗,但眼部症状没有恢复:结论:接受免疫检查点抑制剂治疗的患者可能会出现广泛的多灶性浆液性脉络膜视网膜炎。结论:接受免疫检查点抑制剂治疗的患者可能会出现广泛的多灶性浆液性脉络膜视网膜炎,一些患有免疫检查点抑制剂相关葡萄膜炎的患者可以在肿瘤科医生的密切配合下成功恢复免疫检查点抑制剂治疗。
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来源期刊
Retinal Cases and Brief Reports
Retinal Cases and Brief Reports Medicine-Ophthalmology
CiteScore
2.10
自引率
0.00%
发文量
342
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