Immunotherapy-Induced Overlap Syndrome: Myositis, Myasthenia Gravis, and Myocarditis—A Case Series

Immune checkpoint inhibitors (ICI) are monoclonal antibodies that target immune checkpoint inhibitory receptors. They have revolutionised cancer treatment but can be associated with a wide range of adverse side effects. Rarely, they can be associated with the triad of myositis, myasthenia gravis, an...

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Main Authors: Nikhil Aggarwal, Diletta Bianchini, Rosemeen Parkar, Jennifer Turner
Format: Article
Language:English
Published: Wiley 2024-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2024/5399073
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author Nikhil Aggarwal
Diletta Bianchini
Rosemeen Parkar
Jennifer Turner
author_facet Nikhil Aggarwal
Diletta Bianchini
Rosemeen Parkar
Jennifer Turner
author_sort Nikhil Aggarwal
collection DOAJ
description Immune checkpoint inhibitors (ICI) are monoclonal antibodies that target immune checkpoint inhibitory receptors. They have revolutionised cancer treatment but can be associated with a wide range of adverse side effects. Rarely, they can be associated with the triad of myositis, myasthenia gravis, and myocarditis or overlap syndrome. Prompt recognition and early intervention are needed to treat these potentially life-threatening conditions. We report a case series of patients with ICI-related overlap syndrome, including the first with avelumab, and discuss the current management guidelines.
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institution Kabale University
issn 1687-9635
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spelling doaj-art-aa658a242386477384840deddb7b6eb92025-02-03T05:55:20ZengWileyCase Reports in Medicine1687-96352024-01-01202410.1155/2024/5399073Immunotherapy-Induced Overlap Syndrome: Myositis, Myasthenia Gravis, and Myocarditis—A Case SeriesNikhil Aggarwal0Diletta Bianchini1Rosemeen Parkar2Jennifer Turner3Kent Oncology CentreKent Oncology CentreKent Oncology CentreKent Oncology CentreImmune checkpoint inhibitors (ICI) are monoclonal antibodies that target immune checkpoint inhibitory receptors. They have revolutionised cancer treatment but can be associated with a wide range of adverse side effects. Rarely, they can be associated with the triad of myositis, myasthenia gravis, and myocarditis or overlap syndrome. Prompt recognition and early intervention are needed to treat these potentially life-threatening conditions. We report a case series of patients with ICI-related overlap syndrome, including the first with avelumab, and discuss the current management guidelines.http://dx.doi.org/10.1155/2024/5399073
spellingShingle Nikhil Aggarwal
Diletta Bianchini
Rosemeen Parkar
Jennifer Turner
Immunotherapy-Induced Overlap Syndrome: Myositis, Myasthenia Gravis, and Myocarditis—A Case Series
Case Reports in Medicine
title Immunotherapy-Induced Overlap Syndrome: Myositis, Myasthenia Gravis, and Myocarditis—A Case Series
title_full Immunotherapy-Induced Overlap Syndrome: Myositis, Myasthenia Gravis, and Myocarditis—A Case Series
title_fullStr Immunotherapy-Induced Overlap Syndrome: Myositis, Myasthenia Gravis, and Myocarditis—A Case Series
title_full_unstemmed Immunotherapy-Induced Overlap Syndrome: Myositis, Myasthenia Gravis, and Myocarditis—A Case Series
title_short Immunotherapy-Induced Overlap Syndrome: Myositis, Myasthenia Gravis, and Myocarditis—A Case Series
title_sort immunotherapy induced overlap syndrome myositis myasthenia gravis and myocarditis a case series
url http://dx.doi.org/10.1155/2024/5399073
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AT rosemeenparkar immunotherapyinducedoverlapsyndromemyositismyastheniagravisandmyocarditisacaseseries
AT jenniferturner immunotherapyinducedoverlapsyndromemyositismyastheniagravisandmyocarditisacaseseries