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Two different immune related adverse events occured at pancreas after nivolumab in an advanced RCC patient
1Medical Oncology Department, Bakırköy Sadi Konuk Training and Research Hospital, İstanbul, Turkey.
Introduction:
The foremost side effects of anti-PD-1 therapy are immune related and pancreatitis associated with nivolumab treatment has been rarely reported.
Case Report:
The patient was treating with subcutaneous insulin because of nivolumab induced diabetes mellitus. A patient was diagnosed metastatic renal cell carcinoma and treated with nivolumab. Diabetes mellitus and pancreatitis, which are immune-related adverse events were observed in the patient.
Management & Outcome:
After the diagnosis of nivolumab induced immune pancreatitis methylprednisolone 2 mg/kg per day intravenously started. After steroid treatment, the patient's complaints regressed, amylase and lipase levels began to decline.
Discussion:
This case report highlights the possibility of different immune-related adverse events that can affect pancreas in all patients which were treated with ICIs.
Related Concept Videos
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Acute pancreatitis is characterized by rapid inflammation of the pancreas, often caused by factors like gallstone blockage or excessive alcohol consumption. Chronic pancreatitis, on the other hand, is a slow, progressive inflammation that may result from long-term alcohol abuse, obstructions in the pancreatic duct, or genetic factors.
The causes of acute pancreatitis include:
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Assessment:
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