Severe lichenoid eruption due to concomitant medications following nivolumab administration

Author:

Kakuta Risa1ORCID,Tanese Keiji1ORCID,Hirata Kenro2,Emoto Katsura3,Takeuchi Sakiko1,Shiiya Chihiro14,Amagai Masayuki1,Kubo Akiharu5

Affiliation:

1. Department of Dermatology Keio University School of Medicine Tokyo Japan

2. Department of Internal medicine, Division of Gastroenterology and Hepatology Keio University School of Medicine Tokyo Japan

3. Department of Pathology Keio University School of Medicine Tokyo Japan

4. Department of Dermatology, Faculty of Medicine and Graduate School of Medicine Hokkaido University Sapporo Japan

5. Department of Internal Related, Division of Dermatology Kobe University Graduate School of Medicine Kobe Japan

Abstract

AbstractRecently, immune checkpoint inhibitors have been administered for several cancers and have shown great efficacy. However, they are associated with various immune‐related adverse events. Here, we report a case with severe lichenoid eruption following nivolumab administration that improved after the withdrawal of concomitant medications and the patient could continue nivolumab therapy. While nivolumab has been reported to cause severe skin reactions, the current case suggests that severe cutaneous manifestations after nivolumab administration could also be caused by the acquisition of immunogenicity of concomitant medications, including the one that was safely administered before nivolumab treatment and discontinuation of them may enable the patient to continue nivolumab therapy.

Publisher

Wiley

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