Vogt‐Koyanagi‐Harada disease‐like uveitis induced by nivolumab in metastatic renal cell carcinoma
2024

Nivolumab-Induced Uveitis in Kidney Cancer Patient

Sample size: 1 publication Evidence: low

Author Information

Author(s): Hitomi Imai, Tomoyuki Koguchi, Yuki Harigane, Kei Yaginuma, Satoru Meguro, Seiji Hoshi, Junya Hata, Hidenori Akaihata, Soichiro Ogawa, Yoshiyuki Kojima

Primary Institution: Fukushima Medical University School of Medicine

Hypothesis

Can nivolumab treatment induce Vogt-Koyanagi-Harada disease-like uveitis in patients with metastatic renal cell carcinoma?

Conclusion

Nivolumab effectively controlled cancer progression despite inducing Vogt-Koyanagi-Harada disease-like uveitis.

Supporting Evidence

  • The patient developed VKH-like uveitis as an immune-related adverse event of nivolumab.
  • Topical steroids improved the uveitis while nivolumab treatment continued.
  • HLA-DR4 expression was significantly higher in lung metastases than in primary renal cancer.

Takeaway

A man with kidney cancer got a rare eye problem from his treatment, but the treatment still worked to help his cancer.

Methodology

Case report detailing the patient's treatment and response to nivolumab and subsequent development of uveitis.

Limitations

Only one case is reported, limiting generalizability.

Participant Demographics

68-year-old male with metastatic renal cell carcinoma.

Digital Object Identifier (DOI)

10.1002/iju5.12801

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