Ipilimumab may increase the severity of cutenaous toxicity related to radiotherapy

J Oncol Pharm Pract. 2016 Jun;22(3):533-6. doi: 10.1177/1078155215572930. Epub 2015 Feb 17.

Abstract

Ipilimumab, monoclonal antibody against cytotoxic T-lymphocyte antigen-4 and, radiotherapy are commonly used to treat unresectable and metastatic melanoma. As a result of upregulation of immune system with ipilimumab, many immune-related adverse effects, such as dermatitis, colitis, hepatitis, and hypophysitis, have been previously reported in literature. Typically, these effects are treated with high-dose steroids and mostly heal up. Here, we report a case who was receiving radiotherapy due to metastatic malignant melanoma with atypical generalized rash, which was enlarged with concurrent ipilimumab treatment.

Keywords: Melanoma; cytotoxic T-lymphocyte antigen-4; dermatitis; ipilimumab; radiotherapy.

Publication types

  • Case Reports

MeSH terms

  • Antineoplastic Agents, Immunological / adverse effects*
  • Antineoplastic Agents, Immunological / therapeutic use
  • Female
  • Humans
  • Ipilimumab / adverse effects*
  • Ipilimumab / therapeutic use
  • Melanoma / complications
  • Melanoma / diagnosis
  • Melanoma / drug therapy
  • Middle Aged
  • Radiodermatitis / chemically induced*
  • Radiodermatitis / complications
  • Radiodermatitis / diagnosis*
  • Severity of Illness Index*
  • Skin Neoplasms / complications
  • Skin Neoplasms / diagnosis
  • Skin Neoplasms / drug therapy

Substances

  • Antineoplastic Agents, Immunological
  • Ipilimumab