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Review
. 2019 Oct;24(10):1171-1181.
doi: 10.1007/s10147-019-01490-2. Epub 2019 Jul 18.

Immune checkpoint inhibitor-induced sarcoidosis-like granulomas

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Review

Immune checkpoint inhibitor-induced sarcoidosis-like granulomas

Pooja H Rambhia et al. Int J Clin Oncol. 2019 Oct.

Abstract

Immune checkpoint inhibitors targeting the cytotoxic T lymphocyte-associated antigen-4 and programmed cell death-1 receptors have transformed the treatment of melanoma and other cancers. These therapies are associated with a number of side effects, including immune-related adverse events. Sarcoidosis-like granulomas (SLGs) are important immune checkpoint inhibitor-related reactions to recognize as SLGs can mimic disease progression and accordingly impact treatment decisions. We systematically review reports of immune checkpoint inhibitor-induced SLGs in cancer patients and discuss potential underlying pathophysiological mechanisms.

Keywords: CTLA-4; Drug reactions; Immune checkpoint inhibitor; Melanoma; PD-1; Sarcoidosis-like granuloma.

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