A Rare Case of Ipilimumab-induced Reversible Hypophysitis and Permanent Primary Hypothyroidism

Autor: Mohanad Soliman, Amani Erra, Sabah Patel, Faisal Qureshi, Bibek Singh Pannu
Rok vydání: 2019
Předmět:
Zdroj: Cureus
ISSN: 2168-8184
DOI: 10.7759/cureus.5001
Popis: Ipilimumab is a monoclonal antibody targeting the cytotoxic T-lymphocyte antigen-4 receptor, which was originally approved for the treatment of metastatic melanoma. It is the first immune checkpoint inhibitor to enter clinical practice. Immune toxicity due to ipilimumab causing colitis, hepatitis, and dermatitis are well-described in literature. We report a case of hypophysitis resolving with corticosteroid treatment, following which the patient developed long-term primary thyroid impairment. This highlights the importance of vigilance for rarer immune-related toxicities as clinical utilization of ipilimumab becomes more widespread.
Databáze: OpenAIRE