Literature DB >> 35989744

An Interesting Case Report of Myasthenia Gravis Exacerbation Induced by Durvalumab.

Oluseyi Abidoye1, Nathan Kim1, Jason Fombi1.   

Abstract

Immune checkpoint inhibitors are novel therapy for a wide range of malignancies. They have been associated with numerous side effects resulting in pulmonary, dermatological, gastrointestinal, and neurological complications. There are few reported cases of myasthenia gravis exacerbation from immune checkpoint inhibitors. We present a case of an 82-year-old woman with a history of myasthenia gravis in remission and non-small cell lung cancer who presented with diplopia, dyspnea, and generalized weakness after three cycles of durvalumab. She was diagnosed with a myasthenic crisis and was treated with high-dose steroids and plasmapheresis.
Copyright © 2022, Abidoye et al.

Entities:  

Keywords:  adverse effects; cancer immunotherapy; immune check-point inhibitor; myasthenia gravis exacerbation; non-small-cell lung carcinoma

Year:  2022        PMID: 35989744      PMCID: PMC9381854          DOI: 10.7759/cureus.26985

Source DB:  PubMed          Journal:  Cureus        ISSN: 2168-8184


  6 in total

1.  Nivolumab-related myasthenia gravis with myositis and myocarditis in Japan.

Authors:  Shigeaki Suzuki; Nobuhisa Ishikawa; Fumie Konoeda; Nobuhiko Seki; Satoshi Fukushima; Kikuko Takahashi; Hisashi Uhara; Yoshikazu Hasegawa; Shinichiro Inomata; Yasushi Otani; Kenji Yokota; Takashi Hirose; Ryo Tanaka; Norihiro Suzuki; Makoto Matsui
Journal:  Neurology       Date:  2017-08-18       Impact factor: 9.910

2.  Management of Immune-Related Adverse Events in Patients Treated With Immune Checkpoint Inhibitor Therapy: American Society of Clinical Oncology Clinical Practice Guideline.

Authors:  Julie R Brahmer; Christina Lacchetti; Bryan J Schneider; Michael B Atkins; Kelly J Brassil; Jeffrey M Caterino; Ian Chau; Marc S Ernstoff; Jennifer M Gardner; Pamela Ginex; Sigrun Hallmeyer; Jennifer Holter Chakrabarty; Natasha B Leighl; Jennifer S Mammen; David F McDermott; Aung Naing; Loretta J Nastoupil; Tanyanika Phillips; Laura D Porter; Igor Puzanov; Cristina A Reichner; Bianca D Santomasso; Carole Seigel; Alexander Spira; Maria E Suarez-Almazor; Yinghong Wang; Jeffrey S Weber; Jedd D Wolchok; John A Thompson
Journal:  J Clin Oncol       Date:  2018-02-14       Impact factor: 44.544

3.  Durvalumab-induced myocarditis, myositis, and myasthenia gravis: a case report.

Authors:  Jason Cham; Daniel Ng; Laura Nicholson
Journal:  J Med Case Rep       Date:  2021-05-31

4.  Myasthenia gravis-like syndrome presenting as a component of the paraneoplastic syndrome of lung adenocarcinoma in a nonsmoker.

Authors:  Sahar Eivaz-Mohammadi; Fernando Gonzalez-Ibarra; Hesam Hekmatjou; Rao Mikkilineni; Amit Patel; Amer K Syed
Journal:  Case Rep Oncol Med       Date:  2014-07-23

5.  Association of Immune Checkpoint Inhibitors With Neurologic Adverse Events: A Systematic Review and Meta-analysis.

Authors:  Muhammad Zain Farooq; Sheeba Ba Aqeel; Prasanth Lingamaneni; Rayli Carolina Pichardo; Aleeza Jawed; Saad Khalid; Shristi Upadhyay Banskota; Pingfu Fu; Ankit Mangla
Journal:  JAMA Netw Open       Date:  2022-04-01

6.  Immune checkpoint inhibitor related myasthenia gravis: single center experience and systematic review of the literature.

Authors:  Houssein Safa; Daniel H Johnson; Van Anh Trinh; Theresa E Rodgers; Heather Lin; Maria E Suarez-Almazor; Faisal Fa'ak; Chantal Saberian; Cassian Yee; Michael A Davies; Sudhakar Tummala; Karin Woodman; Noha Abdel-Wahab; Adi Diab
Journal:  J Immunother Cancer       Date:  2019-11-21       Impact factor: 13.751

  6 in total

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