Uveitis in Tumor Patients Treated with Immunological Checkpoint- and Signal Transduction Pathway-Inhibitors

PURPOSE: New tumor therapies like immune checkpoint inhibitors and small molecule inhibitors of MEK and BRAF have increased the patient's survival rate but can be burdened with severe side-effects including uveitis. Here, we show the spectrum, treatment, and outcome of uveitis types induced by tumor treatment.

METHODS: In this retrospective study, we have included 54 patients from different centers who were developing uveitis under tumor therapy. A 16-item questionnaire was analyzed for type, treatment, and outcome of uveitis and type of tumor treatment, which we have correlated here.

RESULTS: Irrespective of the tumor treatment, most patients developed anterior uveitis. All patients received corticosteroids and some additional immunosuppressive treatments. Cessation of tumor therapy was necessary only in a minority of cases.

CONCLUSIONS: Ocular autoimmunity should be differentiated from toxic effects of cancer treatment and timely recognized since it can be generally well controlled by anti-inflammatory treatment, preserving the patient's vision without cessation of the tumor treatment.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:30

Enthalten in:

Ocular immunology and inflammation - 30(2022), 7-8 vom: 13. Okt., Seite 1588-1594

Sprache:

Englisch

Beteiligte Personen:

Thurau, Stephan [VerfasserIn]
Engelke, Hendrik [VerfasserIn]
McCluskey, Peter [VerfasserIn]
Symes, Richard J [VerfasserIn]
Whist, Eline [VerfasserIn]
Teuchner, Barbara [VerfasserIn]
Haas, Gertrud [VerfasserIn]
Allegri, Pia [VerfasserIn]
Cimino, Luca [VerfasserIn]
Bolletta, Elena [VerfasserIn]
Miserocchi, Elisabetta [VerfasserIn]
Russo, Marinella [VerfasserIn]
Li, Jeany Q [VerfasserIn]
Heiligenhaus, Arnd [VerfasserIn]
Wildner, Gerhild [VerfasserIn]

Links:

Volltext

Themen:

Autoimmune disease
BRAF inhibitor
Eye
Immune checkpoint inhibitors
Journal Article
MEK inhibitor
Ocular inflammation
Uveitis

Anmerkungen:

Date Completed 15.12.2022

Date Revised 15.12.2022

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1080/09273948.2021.1910850

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM325345139