LAUSR.org creates dashboard-style pages of related content for over 1.5 million academic articles. Sign Up to like articles & get recommendations!

Dermatologic Infections in Cancer Patients Treated with Checkpoint Inhibitors.

Photo from wikipedia

BACKGROUND The incidence of dermatologic infections in patients receiving checkpoint inhibitors (CPIs) has not been systematically described. OBJECTIVE Identify the incidence of dermatologic infections in patients who received CPIs and… Click to show full abstract

BACKGROUND The incidence of dermatologic infections in patients receiving checkpoint inhibitors (CPIs) has not been systematically described. OBJECTIVE Identify the incidence of dermatologic infections in patients who received CPIs and were evaluated by dermatologists. METHODS Retrospective review of the incidence of dermatologic infections in patients who received CPIs 2005-2020 and were evaluated by dermatologists at Memorial Sloan Kettering Cancer Center. RESULTS Of 2061 patients, 1292 were identified as actively receiving CPIs (≤90 days since the last dose) versus 769 as previously been on CPIs (>90 days since the last dose). 226/1292 (17.5%) patients actively receiving CPI had dermatologic infections, significantly higher than that of patients without active treatment (8.2%; p<0.0001). In patients with infections on CPIs, 82 (36.2%), 78 (34.5%), and 48 (21.2%) were bacterial, fungal, and viral. Eighteen (8.0%) had polymicrobial infections. Anti-CTLA-4 monotherapy was associated with the highest risk (HR=2.93, 95% CI, 1.87 to 4.60; p<0.001). LIMITATIONS Retrospective design and sample limited to patients referred to dermatology. CONCLUSIONS Patients actively receiving CPIs are more susceptible to dermatologic infections, with anti-CTLA-4 monotherapy carrying the highest risk, suggesting that the index of suspicion for infections should be increased in these patients to minimize morbidity and optimize care.

Keywords: dermatologic infections; checkpoint inhibitors; dermatology; cancer; incidence dermatologic; infections patients

Journal Title: Journal of the American Academy of Dermatology
Year Published: 2021

Link to full text (if available)


Share on Social Media:                               Sign Up to like & get
recommendations!

Related content

More Information              News              Social Media              Video              Recommended



                Click one of the above tabs to view related content.