Recurrent Uveitis Related to Ibrutinib for Treatment of Chronic Lymphocytic Leukemia

Ocul Immunol Inflamm. 2022 May 19;30(4):1005-1008. doi: 10.1080/09273948.2020.1841802. Epub 2021 Feb 4.

Abstract

Purpose: We describe a case vision-threatening sclerouveitis as a probable adverse drug reaction to ibrutinib.

Methods: Case report.

Results: Ibrutinib is an inhibitor of Bruton's kinase which has shown success in the treatment of hematological malignancies such as chronic lymphocytic leukemia. Despite being generally well tolerated, recent studies have implicated ibrutinib in several adverse events affecting organs such as the heart, intestines, and the eyes. We present the case of a patient who developed severe sclerouveitis after approximately one year of ibrutinib therapy, and suggest this is a probable adverse drug reaction associated with ibrutinib in accordance with the Naranjo algorithm, highlighting the importance of prompt management of ocular symptoms in these patients.

Keywords: Uveitis; adverse events; chronic lymphoid leukemia; immunotherapy.

Publication types

  • Case Reports

MeSH terms

  • Adenine / analogs & derivatives
  • Drug-Related Side Effects and Adverse Reactions*
  • Humans
  • Leukemia, Lymphocytic, Chronic, B-Cell* / diagnosis
  • Leukemia, Lymphocytic, Chronic, B-Cell* / drug therapy
  • Leukemia, Lymphocytic, Chronic, B-Cell* / pathology
  • Piperidines
  • Protein Kinase Inhibitors / adverse effects
  • Pyrazoles / adverse effects
  • Pyrimidines / adverse effects
  • Uveitis* / chemically induced
  • Uveitis* / diagnosis
  • Uveitis* / drug therapy

Substances

  • Piperidines
  • Protein Kinase Inhibitors
  • Pyrazoles
  • Pyrimidines
  • ibrutinib
  • Adenine