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Nivolumab-induced immune-mediated neurotoxicity in Hodgkin lymphoma

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Abstract Nivolumab, a monoclonal antibody against programmed cell death-1 used to treat multiple cancers, has fewer side effects than traditional chemotherapy but has displayed a propensity to cause a host… Click to show full abstract

Abstract Nivolumab, a monoclonal antibody against programmed cell death-1 used to treat multiple cancers, has fewer side effects than traditional chemotherapy but has displayed a propensity to cause a host of immune-related adverse events. We describe a case of nivolumab immune-mediated neurotoxicity in a 42-year-old Hispanic man with relapsed Hodgkin lymphoma who presented with unilateral facial droop, dysarthria, and dysphagia 1 week after receiving nivolumab. His symptoms rapidly improved with steroids, intravenous immunoglobulin, and infliximab.

Keywords: hodgkin lymphoma; induced immune; nivolumab induced; immune mediated; mediated neurotoxicity

Journal Title: Baylor University Medical Center Proceedings
Year Published: 2020

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