Jørgensen Line Bisgaard, Yderstræde Knud
Ugeskr Laeger. 2017 Sep 11;179(37).
Immune checkpoint inhibitors have improved survival rate in patients with advanced melanoma, but also have the potential to induce several adverse events. We report on a 63-year-old woman who had advanced melanoma and was admitted with diabetic ketoacidosis, which had occurred upon treatment with ipilimumab. On admission, the C-peptide level was low, and the HbA1c concentration was 50 mmol/l indicating a rapid onset of the disease. The patient had also been diagnosed with thyroiditis. Diabetes mellitus is a rare and serious side effect of treatment with ipilimumab, and we recommend being aware of this due to the rapid course.
免疫检查点抑制剂提高了晚期黑色素瘤患者的生存率,但也有可能引发多种不良事件。我们报告了一名63岁患有晚期黑色素瘤的女性,她因使用伊匹单抗治疗后出现糖尿病酮症酸中毒而入院。入院时,C肽水平较低,糖化血红蛋白浓度为50 mmol/l,表明该病起病迅速。该患者还被诊断出患有甲状腺炎。糖尿病是伊匹单抗治疗罕见且严重的副作用,鉴于其病程迅速,我们建议对此予以关注。