• Internal medicine · Nov 2021

    Case Reports

    Nivolumab-induced Vogt-Koyanagi-Harada-like Syndrome and Adrenocortical Insufficiency with Long-term Survival in a Patient with Non-small-cell Lung Cancer: A Case Report.

    • Ryota Ushio, Masaki Yamamoto, Atsushi Miyasaka, Tatsuya Muraoka, Hiromi Kanaoka, Hironori Tamura, Ayami Kaneko, Ami Izawa, Nobuyuki Hirama, Shuhei Teranishi, Saki Manabe, Tatsuya Inoue, Kunihiko Shibata, Yasuyuki Sugiura, Makoto Kudo, and Takeshi Kaneko.
    • Respiratory Disease Center, Yokohama City University Medical Center, Japan.
    • Intern. Med. 2021 Nov 15; 60 (22): 3593-3598.

    AbstractA 58-year-old man was diagnosed with lung adenocarcinoma with a tumor proportion score of 10%. After six cycles of second-line chemotherapy with nivolumab, he achieved a complete response (CR) but developed uveitis and sensorineural hearing disorder, which were consistent with Vogt-Koyanagi-Harada (VKH)-like syndrome. Simultaneously, pituitary adrenocortical insufficiency was identified. Nivolumab discontinuation and systemic corticosteroid administration resolved these immune-related adverse events (irAEs). The patient has maintained a CR without any chemotherapy for approximately two years. We herein report a patient with a long-term progression-free survival despite chemotherapy discontinuation due to irAEs, including VKH-like syndrome, which were appropriately managed.

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