• Internal medicine · Oct 2020

    A Case of Sjögren's Syndrome as an Immune-related Adverse Event of Nivolumab Treatment for Gastric Cancer.

    • Tetsuo Higashi, Hideaki Miyamoto, Ryoji Yoshida, Yoki Furuta, Katsuya Nagaoka, Hideaki Naoe, Hisaki Naito, Hideki Nakayama, and Motohiko Tanaka.
    • Department of Gastroenterology and Hepatology, Graduate School of Medical Sciences, Kumamoto University, Japan.
    • Intern. Med. 2020 Oct 15; 59 (20): 2499-2504.

    AbstractImmune checkpoint inhibitors can affect any organ, including the salivary glands. A case of Sjögren's syndrome (SjS) induced by nivolumab for the treatment of gastric cancer is herein presented. Nivolumab treatment caused marked tumor shrinkage, but xerostomia developed after two cycles. It took 3 months after symptom onset to confirm the diagnosis of SjS. Prednisolone and pilocarpine hydrochloride did not relieve the symptoms. SjS is a relatively rare immune-related adverse event that might sometimes be overlooked. Since SjS can severely impair a patient's quality of life, oncologists should not miss any signs of salivary gland hypofunction and cooperate with specialists for SjS.

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