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Relapsing polychondritis following PD-1 blockade diagnosed via 18F-FDG PET/CT and improved by steroid administration: a case report and literature review.

作者信息

Xu Ruo-Wen, Dong Wen-Bo, Wang Yong-Xu, Liu Yong-Qi, Chen Chen, Wang Wei, Liu Hai-Na, Jin Hong-Yu, Li Wen-Yang

机构信息

Respiratory and Critical Care Department, The First Hospital of China Medical University, Shenyang, China.

First Clinical College, China Medical University, Shenyang, China.

出版信息

Front Immunol. 2025 Aug 14;16:1619229. doi: 10.3389/fimmu.2025.1619229. eCollection 2025.


DOI:10.3389/fimmu.2025.1619229
PMID:40895557
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12391198/
Abstract

BACKGROUND: Up to 22% of cancer patients treated with immune checkpoint inhibitors (ICIs) can experience immune-related adverse events (irAEs) that mimic rheumatic disease, such as relapsing polychondritis (RP), which is a rare autoimmune disease that mainly manifests as inflammation of airway cartilage. METHODS: We report a case of RP induced by humanized recombinant anti-PD-1 monoclonal antibody therapy (tislelizumab). 18F-Fluorodeoxyglucose positron emission tomography/ computed tomography (18F-FDG PET/CT) contributed to the diagnosis of RP, and methylprednisolone was used to effectively control its progression. We also reviewed 13 publications on drug-induced RP in the context of cancer and analyzed the pathogenesis, ancillary tests, treatment, and prognosis of the cases described therein. RESULTS: Including our case, 14 drug-related RP cases with a tumor background were analyzed. Patients usually develop related symptoms 3-5 months after initiating medication. The primary tumor involvement sites included the hematological system (5/14, 35.71%), upper digestive tract (4/14, 28.57%), skin (2/14, 14.29%), reproductive system (2/14, 14.29%), bone (1/14,7.14%), and lung (1/ 14, 7.14%). CONCLUSION: 18F-FDG PET/CT plays a crucial role in diagnosing RP caused by PD-1 monoclonal antibodies. Early detection and the prompt administration of corticosteroids are crucial in effectively controlling the progression of RP, helping to alleviate symptoms and prevent further complications.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb56/12391198/a740a026f024/fimmu-16-1619229-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb56/12391198/345c55ff1bfc/fimmu-16-1619229-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb56/12391198/7fff6b927583/fimmu-16-1619229-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb56/12391198/e334c38d5371/fimmu-16-1619229-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb56/12391198/a740a026f024/fimmu-16-1619229-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb56/12391198/345c55ff1bfc/fimmu-16-1619229-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb56/12391198/7fff6b927583/fimmu-16-1619229-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb56/12391198/e334c38d5371/fimmu-16-1619229-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb56/12391198/a740a026f024/fimmu-16-1619229-g004.jpg

相似文献

[1]
Relapsing polychondritis following PD-1 blockade diagnosed via 18F-FDG PET/CT and improved by steroid administration: a case report and literature review.

Front Immunol. 2025-8-14

本文引用的文献

[1]
Misdiagnosis of severe and atypical oxaliplatin‑related hypersensitivity reaction following chemotherapy combined with PD‑1 inhibitor: A case report and literature review.

Oncol Lett. 2024-7-23

[2]
Preliminary response to Tislelizumab plus chemotherapy drugs in patient with periampullary carcinoma: a report of one case and a literature review.

Front Immunol. 2024

[3]
Tislelizumab plus chemotherapy versus placebo plus chemotherapy as first line treatment for advanced gastric or gastro-oesophageal junction adenocarcinoma: RATIONALE-305 randomised, double blind, phase 3 trial.

BMJ. 2024-5-28

[4]
Relapsing polychondritis: clinical updates and new differential diagnoses.

Nat Rev Rheumatol. 2024-6

[5]
Relapsing Polychondritis following PD-1 Blockade by an Immune Checkpoint Inhibitor.

JMA J. 2023-10-16

[6]
Development and validation of diagnostic and activity-assessing models for relapsing polychondritis based on laboratory parameters.

Front Immunol. 2023

[7]
Severe thyrotoxicosis induced by tislelizumab: a case report and literature review.

Front Oncol. 2023-10-2

[8]
Case Report: Life-threatening pancytopenia with tislelizumab followed by cerebral infarction in a patient with lung adenocarcinoma.

Front Immunol. 2023

[9]
Hydroxyurea-Associated Relapsing Polychondritis in a Patient With Myeloproliferative Neoplasm.

Ann Pharmacother. 2024-5

[10]
Relapsing Polychondritis: The Oto-Rhino-Tracheobronchial Triad on 18 F-FDG PET/CT.

Clin Nucl Med. 2023-8-1

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