Evidence map›Paper›PMID 39697463›Full record

ArticleClinical, cosmetic and investigational dermatology2024

Successful Treatment of Immune Checkpoint Inhibitor-Induced Bullous Pemphigoid with Omalizumab: A Case Report and Review of the Literature.

Jiazhen Chen, Duanni Xu, Zezhi He, Shaoyin Ma, Jiahui Liu, Xiangnong Dai, Yuwu Luo, Xingdong Ye

Abstract readCase Reports
In one paragraph

Article in Clinical, cosmetic and investigational dermatology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Jiazhen Chen *Department of Dermatology, Guangzhou Dermatology Hospital, Guangzhou, 510095 People's Republic of China.ORCID 0009-0008-5104-7032
Duanni Xu *Department of Dermatology, Guangzhou Dermatology Hospital, Guangzhou, 510095 People's Republic of China.ORCID 0009-0000-9459-8792
Zezhi HeDepartment of Dermatology, Guangzhou Dermatology Hospital, Guangzhou, 510095 People's Republic of China.
Shaoyin MaDepartment of Dermatology, Guangzhou Dermatology Hospital, Guangzhou, 510095 People's Republic of China.
Jiahui LiuDepartment of Dermatology, Guangzhou Dermatology Hospital, Guangzhou, 510095 People's Republic of China.
Xiangnong DaiDepartment of Dermatology, Guangzhou Dermatology Hospital, Guangzhou, 510095 People's Republic of China.
Yuwu LuoDepartment of Dermatology, Guangzhou Dermatology Hospital, Guangzhou, 510095 People's Republic of China.
Xingdong YeDepartment of Dermatology, Guangzhou Dermatology Hospital, Guangzhou, 510095 People's Republic of China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Immune checkpoint inhibitors (ICIs) have revolutionized cancer treatment by enhancing the immune system's ability to target cancer cells. However, ICIs can lead to immune-related adverse events (irAEs), including dermatologic manifestations such as bullous pemphigoid (BP). Objective: To evaluate the efficacy and safety of omalizumab and other biologics in the treatment of ICI-induced refractory bullous pemphigoid and to derive a strategy for selecting biologic treatments for this condition. Methods: A 48-year-old female with pulmonary squamous cell carcinoma developed erythema and blisters following tislelizumab treatment. Despite initial steroid therapy (1.8 mg/kg/day), new blisters formed. Laboratory tests revealed elevated BP180/230 levels, confirming BP diagnosis. Treatments with intravenous corticosteroids, cyclosporine, and dapsone were ineffective. Omalizumab 300 mg every four weeks was initiated based on elevated serum IgE levels. The patient's response was monitored over four weeks. A comprehensive literature review was conducted, including 4 relevant articles. Results: Omalizumab treatment resulted in the cessation of blister formation and significant symptom alleviation within one week. The overall treatment duration was four weeks, with stable improvement observed. Follow-up for 4 months with no recurrence. Conclusion: This case illustrates the challenges of managing ICI-induced BP and highlights omalizumab as a potentially effective treatment option. The study proposes a personalized therapeutic strategy for refractory ICI-induced BP, emphasizing the selection of biologic agents based on specific immune profiles, including serum markers like IgE, eosinophils, and cytokine levels.

Indexed as

adverse eventsbullous pemphigoidcase reportimmune checkpoint inhibitorsomalizumab

Identifiers

PMID39697463
PMCPMC11654213

What Socratic holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.