Immune Checkpoint Inhibitor-Induced Primary Adrenal Insufficiency: A Case Report
2024

Case of Adrenal Insufficiency from Immune Checkpoint Inhibitors

publication Evidence: low

Author Information

Author(s): Gupta Rahul MD, Lubkin Cary MD

Primary Institution: Cooper University Hospital, Department of Emergency Medicine

Hypothesis

Can immune checkpoint inhibitors cause primary adrenal insufficiency?

Conclusion

Early detection of immune checkpoint inhibitor-induced primary adrenal insufficiency is crucial due to its serious health risks.

Supporting Evidence

  • Patients on immune checkpoint inhibitors can develop adrenal insufficiency, which is rare but serious.
  • Early treatment with hydrocortisone is essential for patients showing symptoms of adrenal insufficiency.
  • Diagnosis can be delayed due to non-specific symptoms like fatigue and nausea.

Takeaway

Sometimes, cancer treatments can make your body not produce enough hormones, which can make you very sick. It's important for doctors to check for this quickly.

Methodology

Case report detailing the clinical presentation, diagnosis, and treatment of a patient with ICI-induced primary adrenal insufficiency.

Potential Biases

No conflicts of interest or bias reported by authors.

Limitations

The case report is based on a single patient, limiting generalizability.

Participant Demographics

59-year-old female patient.

Digital Object Identifier (DOI)

10.5811/cpcem.20448

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