Diagnosis and Treatment of Rheumatic Adverse Events Related to Immune Checkpoint Inhibitors

J Immunol Res. 2020 Aug 4:2020:2640273. doi: 10.1155/2020/2640273. eCollection 2020.

Abstract

Immune checkpoint inhibitors (ICIs) have completely changed the treatment of cancer, and they also can cause multiple organ immune-related adverse reactions (irAEs). Among them, rheumatic irAE is less common, mainly including inflammatory arthritis, rheumatic myalgia/giant cell arteritis, inflammatory myopathy, and Sjogren's syndrome. For oncologists, rheumatism is a relatively new field, and early diagnosis and treatment is very important, and we need to work closely with experienced rheumatologists. In this review, we focused on the incidence, clinical characteristics, and treatment strategies of rheumatic irAE.

Publication types

  • Review

MeSH terms

  • Biomarkers
  • Combined Modality Therapy / adverse effects
  • Combined Modality Therapy / methods
  • Disease Management
  • Disease Susceptibility
  • Humans
  • Immune Checkpoint Inhibitors / adverse effects*
  • Immune Checkpoint Inhibitors / therapeutic use
  • Immune Checkpoint Proteins / genetics
  • Immune Checkpoint Proteins / metabolism
  • Immunomodulation / drug effects
  • Immunomodulation / genetics
  • Incidence
  • Neoplasms / complications*
  • Neoplasms / drug therapy
  • Rheumatic Diseases / diagnosis*
  • Rheumatic Diseases / etiology*
  • Rheumatic Diseases / metabolism
  • Rheumatic Diseases / therapy*
  • Symptom Assessment

Substances

  • Biomarkers
  • Immune Checkpoint Inhibitors
  • Immune Checkpoint Proteins