Immune Checkpoint Inhibitor-Associated Hemophagocytic Lymphohistiocytosis: Clinical Presentation and Outcomes in Three Patients.
Mayte G Martinez-Garza, Effrosyni Apostolidou, Hugo R Lara-Martinez et al.
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Case in brief
Three patients receiving immune checkpoint inhibitors presented with diverse clinical symptoms indicative of systemic inflammation. Upon evaluation, they were diagnosed with immune checkpoint inhibitor-associated hemophagocytic lymphohistiocytosis, a severe hyperinflammatory syndrome. Treatment involved dexamethasone and an immunosuppressive agent, leading to variable clinical responses among the patients.
Diagnostic / clinical pearl
Clinicians should maintain a high index of suspicion for hemophagocytic lymphohistiocytosis in patients undergoing immune checkpoint inhibitor therapy who exhibit systemic inflammatory symptoms.