Acute interstitial nephritis and PR3-ANCA following reintroduction of pembrolizumab: a case report.

Abstract:

:Renal toxicity from immune checkpoint inhibitors (ICIs) is an increasingly recognized cause of acute kidney injury among patients with cancer. ICI-associated acute kidney injuries typically present as acute interstitial nephritis and the timing of onset is highly variable. Herein, we present a case of a patient with relapsed metastatic melanoma previously treated with pembrolizumab who developed grade 3 immune-related renal toxicity after reintroduction of the same ICI, secondary to acute interstitial nephritis with accompanying high PR3-antineutrophil cytoplasmic antibody titer. The patient improved after steroid treatment and discontinuation of pembrolizumab. This case highlights the importance of not excluding ICI-related nephrotoxicity as a possible cause of renal failure, including in those who previously tolerated ICI treatment, since it is a treatable entity.

journal_name

Immunotherapy

journal_title

Immunotherapy

authors

Mulroy M,Ghafouri S,Sisk A,Ribas A,Goshtaseb R,Cherry G,Shen J

doi

10.2217/imt-2020-0223

subject

Has Abstract

pub_date

2021-03-01 00:00:00

pages

283-288

issue

4

eissn

1750-743X

issn

1750-7448

journal_volume

13

pub_type

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