Sicca syndrome following immune checkpoint inhibition

Clin Immunol. 2020 Aug:217:108497. doi: 10.1016/j.clim.2020.108497. Epub 2020 Jun 9.

Abstract

The recent approval of Immunologic checkpoint inhibitors as an effective therapeutic strategy against cancer came at the cost of toxicities mediated by an excessive activation of immune system against health tissues, including among others musculoskeletal and sicca complaints.The latter occur in the context of an entity reminiscent of Sjogren's syndrome, with distinct characteristics such as abrupt onset, male predominance, lower prevalence of autoantibodies and response to steroids.

Keywords: Differential diagnosis; Immune checkpoint inhibitors; Sicca syndrome.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Aged
  • Autoantibodies / blood
  • Autoantibodies / drug effects
  • CD4-Positive T-Lymphocytes / cytology
  • CD4-Positive T-Lymphocytes / immunology
  • Humans
  • Immune Checkpoint Inhibitors / adverse effects*
  • Immune Checkpoint Inhibitors / therapeutic use
  • Ipilimumab / adverse effects*
  • Ipilimumab / therapeutic use
  • Male
  • Neoplasms / drug therapy
  • Nivolumab / adverse effects*
  • Nivolumab / therapeutic use
  • Sjogren's Syndrome / chemically induced*
  • Sjogren's Syndrome / immunology

Substances

  • Autoantibodies
  • Immune Checkpoint Inhibitors
  • Ipilimumab
  • Nivolumab