Hypoparathyroidism: an uncommon adverse effect of treatment with durvalumab.

Alexander Kreze, Matěj Homer, Tereza Barešová, Kristina Klemperová
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Abstract

Summary: Immune checkpoint inhibitors (ICIs) are monoclonal antibodies approved for the treatment of numerous cancer types. Toxicities induced by ICIs may affect any organ system and manifest as endocrinopathy. The main side effects related to treatment are immune-related adverse events (irAEs), especially thyroid dysfunction and hypophysitis. Rare endocrine irAEs are diabetes insipidus, hypoparathyroidism, thyrotoxic crisis and hypogonadism. We report a case of hypoparathyroidism induced by ICI treatment with durvalumab, which has not previously been described.

Learning points: Treatment with immune checkpoint inhibitors (ICIs) is associated with many endocrine side effects.It is recommended that patients treated with ICIs are observed by an endocrinologist.If side effects are treated accordingly, ICI therapy can continue.

Abstract Image

甲状旁腺功能减退:杜伐单抗治疗的罕见不良反应。
免疫检查点抑制剂(ICIs)是被批准用于治疗多种癌症类型的单克隆抗体。ICIs引起的毒性可影响任何器官系统,表现为内分泌病变。与治疗相关的主要副作用是免疫相关不良事件(irAEs),特别是甲状腺功能障碍和垂体炎。罕见的内分泌类ae有尿崩症、甲状旁腺功能减退、甲状腺毒性危象和性腺功能减退。我们报告一个病例的甲状旁腺功能低下诱导ICI治疗杜伐单抗,这是以前没有描述过的。学习要点:免疫检查点抑制剂(ICIs)治疗与许多内分泌副作用有关。建议接受ICIs治疗的患者由内分泌科医生进行观察。如果副作用得到相应的治疗,则可以继续进行ICI治疗。
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