Avelumab-Induced Scleroderma in a Patient with Metastatic Squamous Cell Carcinoma of the Lung

Immune checkpoint inhibitors are associated with a spectrum of cutaneous immune-related adverse events. While maculopapular eruptions are the most common cutaneous adverse event, scleroderma can rarely develop. Herein, we report a case of new-onset scleroderma associated with avelumab treatment in t...

Full description

Saved in:
Bibliographic Details
Main Authors: Jeffrey L. Dobrzynski, Blake E. Vest, Brian L. Swick
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Case Reports in Dermatological Medicine
Online Access:http://dx.doi.org/10.1155/2022/5360113
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832552488339767296
author Jeffrey L. Dobrzynski
Blake E. Vest
Brian L. Swick
author_facet Jeffrey L. Dobrzynski
Blake E. Vest
Brian L. Swick
author_sort Jeffrey L. Dobrzynski
collection DOAJ
description Immune checkpoint inhibitors are associated with a spectrum of cutaneous immune-related adverse events. While maculopapular eruptions are the most common cutaneous adverse event, scleroderma can rarely develop. Herein, we report a case of new-onset scleroderma associated with avelumab treatment in the setting of metastatic squamous cell carcinoma of the lung. The pathophysiology of immune checkpoint inhibitor-induced scleroderma is not completely understood. A proposed mechanism is discussed along with the clinical presentation of symptoms and associated therapeutic response in cancer treatment. This case contributes to the few existing reports of immune checkpoint inhibitor-induced scleroderma to better understand the implications in the management of cutaneous immune-related adverse events.
format Article
id doaj-art-30d76c09809e4ea5bd014529984b7c85
institution Kabale University
issn 2090-6471
language English
publishDate 2022-01-01
publisher Wiley
record_format Article
series Case Reports in Dermatological Medicine
spelling doaj-art-30d76c09809e4ea5bd014529984b7c852025-02-03T05:58:32ZengWileyCase Reports in Dermatological Medicine2090-64712022-01-01202210.1155/2022/5360113Avelumab-Induced Scleroderma in a Patient with Metastatic Squamous Cell Carcinoma of the LungJeffrey L. Dobrzynski0Blake E. Vest1Brian L. Swick2University of Iowa Roy J. and Lucille A. Carver College of MedicineUniversity of Iowa Hospitals and ClinicsUniversity of Iowa Hospitals and ClinicsImmune checkpoint inhibitors are associated with a spectrum of cutaneous immune-related adverse events. While maculopapular eruptions are the most common cutaneous adverse event, scleroderma can rarely develop. Herein, we report a case of new-onset scleroderma associated with avelumab treatment in the setting of metastatic squamous cell carcinoma of the lung. The pathophysiology of immune checkpoint inhibitor-induced scleroderma is not completely understood. A proposed mechanism is discussed along with the clinical presentation of symptoms and associated therapeutic response in cancer treatment. This case contributes to the few existing reports of immune checkpoint inhibitor-induced scleroderma to better understand the implications in the management of cutaneous immune-related adverse events.http://dx.doi.org/10.1155/2022/5360113
spellingShingle Jeffrey L. Dobrzynski
Blake E. Vest
Brian L. Swick
Avelumab-Induced Scleroderma in a Patient with Metastatic Squamous Cell Carcinoma of the Lung
Case Reports in Dermatological Medicine
title Avelumab-Induced Scleroderma in a Patient with Metastatic Squamous Cell Carcinoma of the Lung
title_full Avelumab-Induced Scleroderma in a Patient with Metastatic Squamous Cell Carcinoma of the Lung
title_fullStr Avelumab-Induced Scleroderma in a Patient with Metastatic Squamous Cell Carcinoma of the Lung
title_full_unstemmed Avelumab-Induced Scleroderma in a Patient with Metastatic Squamous Cell Carcinoma of the Lung
title_short Avelumab-Induced Scleroderma in a Patient with Metastatic Squamous Cell Carcinoma of the Lung
title_sort avelumab induced scleroderma in a patient with metastatic squamous cell carcinoma of the lung
url http://dx.doi.org/10.1155/2022/5360113
work_keys_str_mv AT jeffreyldobrzynski avelumabinducedsclerodermainapatientwithmetastaticsquamouscellcarcinomaofthelung
AT blakeevest avelumabinducedsclerodermainapatientwithmetastaticsquamouscellcarcinomaofthelung
AT brianlswick avelumabinducedsclerodermainapatientwithmetastaticsquamouscellcarcinomaofthelung