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Non-small-cell Lung Cancer with Severe Skin Manifestations Related to Radiation Recall Dermatitis after Atezolizumab Treatment

Radiation recall dermatitis (RRD) is an inflammatory reaction that occurs at previously irradiated skin regions after drug administration. We herein report a patient with non-small-cell lung cancer treated previously with thoracic radiotherapy who developed severe RRD induced by atezolizumab [anti-p...

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Autores principales: Nakashima, Kei, Saruwatari, Koichi, Sato, Ryo, Imamura, Kosuke, Kajihara, Ikko, Fukushima, Satoshi, Saito, Tetsuo, Ishizuka, Shiho, Tamanoi, Daisuke, Jodai, Takayuki, Hamada, Shohei, Tomita, Yusuke, Saeki, Sho, Ichiyasu, Hidenori, Oya, Natsuo, Ihn, Hironobu, Sakagami, Takuro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7270770/
https://www.ncbi.nlm.nih.gov/pubmed/32051381
http://dx.doi.org/10.2169/internalmedicine.3937-19
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author Nakashima, Kei
Saruwatari, Koichi
Sato, Ryo
Imamura, Kosuke
Kajihara, Ikko
Fukushima, Satoshi
Saito, Tetsuo
Ishizuka, Shiho
Tamanoi, Daisuke
Jodai, Takayuki
Hamada, Shohei
Tomita, Yusuke
Saeki, Sho
Ichiyasu, Hidenori
Oya, Natsuo
Ihn, Hironobu
Sakagami, Takuro
author_facet Nakashima, Kei
Saruwatari, Koichi
Sato, Ryo
Imamura, Kosuke
Kajihara, Ikko
Fukushima, Satoshi
Saito, Tetsuo
Ishizuka, Shiho
Tamanoi, Daisuke
Jodai, Takayuki
Hamada, Shohei
Tomita, Yusuke
Saeki, Sho
Ichiyasu, Hidenori
Oya, Natsuo
Ihn, Hironobu
Sakagami, Takuro
author_sort Nakashima, Kei
collection PubMed
description Radiation recall dermatitis (RRD) is an inflammatory reaction that occurs at previously irradiated skin regions after drug administration. We herein report a patient with non-small-cell lung cancer treated previously with thoracic radiotherapy who developed severe RRD induced by atezolizumab [anti-programmed death 1 ligand 1 (PD-L1) antibody]. Immunohistochemistry of the skin biopsy showed dermatitis with infiltration of CD8+ lymphocytes, suggesting that atezolizumab might provoke an immune-related inflammatory reaction at previously irradiated skin regions. When administering anti-PD-L1 antibody to patients who have undergone radiotherapy previously, physicians should carefully monitor the irradiated skin for the potential occurrence of RRD.
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spelling pubmed-72707702020-06-09 Non-small-cell Lung Cancer with Severe Skin Manifestations Related to Radiation Recall Dermatitis after Atezolizumab Treatment Nakashima, Kei Saruwatari, Koichi Sato, Ryo Imamura, Kosuke Kajihara, Ikko Fukushima, Satoshi Saito, Tetsuo Ishizuka, Shiho Tamanoi, Daisuke Jodai, Takayuki Hamada, Shohei Tomita, Yusuke Saeki, Sho Ichiyasu, Hidenori Oya, Natsuo Ihn, Hironobu Sakagami, Takuro Intern Med Case Report Radiation recall dermatitis (RRD) is an inflammatory reaction that occurs at previously irradiated skin regions after drug administration. We herein report a patient with non-small-cell lung cancer treated previously with thoracic radiotherapy who developed severe RRD induced by atezolizumab [anti-programmed death 1 ligand 1 (PD-L1) antibody]. Immunohistochemistry of the skin biopsy showed dermatitis with infiltration of CD8+ lymphocytes, suggesting that atezolizumab might provoke an immune-related inflammatory reaction at previously irradiated skin regions. When administering anti-PD-L1 antibody to patients who have undergone radiotherapy previously, physicians should carefully monitor the irradiated skin for the potential occurrence of RRD. The Japanese Society of Internal Medicine 2020-02-12 2020-05-01 /pmc/articles/PMC7270770/ /pubmed/32051381 http://dx.doi.org/10.2169/internalmedicine.3937-19 Text en Copyright © 2020 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/ The Internal Medicine is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Nakashima, Kei
Saruwatari, Koichi
Sato, Ryo
Imamura, Kosuke
Kajihara, Ikko
Fukushima, Satoshi
Saito, Tetsuo
Ishizuka, Shiho
Tamanoi, Daisuke
Jodai, Takayuki
Hamada, Shohei
Tomita, Yusuke
Saeki, Sho
Ichiyasu, Hidenori
Oya, Natsuo
Ihn, Hironobu
Sakagami, Takuro
Non-small-cell Lung Cancer with Severe Skin Manifestations Related to Radiation Recall Dermatitis after Atezolizumab Treatment
title Non-small-cell Lung Cancer with Severe Skin Manifestations Related to Radiation Recall Dermatitis after Atezolizumab Treatment
title_full Non-small-cell Lung Cancer with Severe Skin Manifestations Related to Radiation Recall Dermatitis after Atezolizumab Treatment
title_fullStr Non-small-cell Lung Cancer with Severe Skin Manifestations Related to Radiation Recall Dermatitis after Atezolizumab Treatment
title_full_unstemmed Non-small-cell Lung Cancer with Severe Skin Manifestations Related to Radiation Recall Dermatitis after Atezolizumab Treatment
title_short Non-small-cell Lung Cancer with Severe Skin Manifestations Related to Radiation Recall Dermatitis after Atezolizumab Treatment
title_sort non-small-cell lung cancer with severe skin manifestations related to radiation recall dermatitis after atezolizumab treatment
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7270770/
https://www.ncbi.nlm.nih.gov/pubmed/32051381
http://dx.doi.org/10.2169/internalmedicine.3937-19
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