Published (Version of record)JAAD Case Reports, Volume 2, Issue 4, July 2016, Pages 343–345.
Abstract
Introduction:
Immune checkpoint inhibitors such as ipilimumab (anticytotoxic T-lymphocyte–associated antigen), pembrolizumab, and nivolumab (anti–programmed death receptor represent some of the newest and most promising medications for the treatment of metastatic melanoma. As a class, immune checkpoint inhibitors interfere with tumoral suppression of T cells, resulting in a more robust immune response and subsequent benefit in the treatment of melanoma, non–small-cell lung cancer, and potentially other malignancies. Unfortunately, immune checkpoint inhibitors also interfere with suppression of autoimmunity, and several immune-related adverse events have been attributed to these medications. Patients receiving programmed death receptor 1 (PD-1) inhibitors have had morbilliform eruptions, vitiligo, pruritus, neutrophilic dermatosis, lichen planus, psoriasis, bullous erythema multiforme, Stevens-Johnson syndrome, and bullous pemphigoid. Here we present a novel case of a pityriasis lichenoides chronica–like drug eruption developing during pembrolizumab therapy.