• Internal medicine · Apr 2020

    Case Reports

    Safe Use of Nivolumab in a Patient with Epipharyngeal Carcinoma and Preexisting Ulcerative Colitis: A Histologically Proven Case Report.

    • Yasuki Hijikata, Yasuo Matsubara, Yasunori Ota, Lay Ahyoung Lim, Kenzaburo Tani, Yoshihiro Hirata, and Hiroshi Yotsuyanagi.
    • Department of General Medicine, IMSUT Hospital of The Institute of Medical Science, The University of Tokyo, Japan.
    • Intern. Med. 2020 Apr 15; 59 (8): 1105-1109.

    AbstractNivolumab, an antibody against human programmed cell death 1 (PD-1), enhances pre-existing immune responses and has antitumor activity. However, it may also cause undesirable immune-related adverse events (irAEs), such as anti-PD-1-related colitis. In addition, Nivolumab can worsen pre-existing autoimmune diseases. Ulcerative colitis (UC) is a chronic inflammatory disease of the colon. Its exact cause is unknown, but it may involve the dysregulation of the mucosal immune response. Thus, it is of great interest whether nivolumab can affect UC activity. This is the first report of a patient with epipharyngeal carcinoma and ulcerative colitis who was confirmed to have been safely treated with nivolumab based on autopsy findings.

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