Pembrolizumab toxicity

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Pembrolizumab toxicity. Axonal peripheral neuropathy (PN), Myasthenia gravis (MG), Myositis, Necrotic myositis. Fully referenced neurology checklist.

Peripheral neurological features

  • Axonal peripheral neuropathy (PN)
  • Myasthenia gravis (MG)
  • Myositis
  • Necrotic myositis
  • Polyradiculopathy
  • Vasculitic neuropathy
  • Miller Fisher syndrome (MFS)

Central neurological features

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Renal features

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Dermatological features

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Ophthalmological features

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Haematological features

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Pulmonary features

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Hepatobiliary features

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Endocrine features

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Cardiac features

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Rheumatological features

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Gastrointestinal features

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References

  1. Hottinger AF. Neurologic complications of immune checkpoint inhibitors. Curr Opin Neurol 2016; 29:806-812.
  2. Izzedine H, Mateus C, Boutros C, et al. Renal effects of immune checkpoint inhibitors. Nephrol Dial Transplant 2017; 32:936-942.
  3. Diamantopoulos PT, Tsatsou K, Benopoulou O, Anastasopoulou A, Gogas H. Inflammatory myopathy and axonal neuropathy in a patient with melanoma following pembrolizumab treatment. J Immunother 2017; 40:221-223.
  4. Yen CC, Su HC, Chu CY, et al. Excellent treatment response with pembrolizumab in a lung cancer patient who developed immune-mediated acute motor/sensory axonal polyneuropathy. Lung Cancer 2018; 120:149-151.
  5. Makarious D, Horwood K, Coward JIG. Myasthenia gravis: an emerging toxicity of immune checkpoint inhibitors. Eur J Cancer 2017; 82:128-136. 
  6. And 61 more. Subscribe to see the full list

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