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Area of Science:

  • Oncology
  • Immunology
  • Rheumatology

Background:

  • Immune checkpoint inhibitors (ICIs) have revolutionized cancer treatment.
  • ICIs can trigger immune-related adverse events (irAEs) due to immune activation.
  • ICI-inflammatory arthritis (IA) is a recognized irAE with varied onset.

Purpose of the Study:

  • To summarize the current understanding of ICI-inflammatory arthritis (IA).
  • To discuss factors influencing the management of ICI-IA.

Main Methods:

  • Literature review of immune-related adverse events associated with ICIs.
  • Analysis of clinical presentations and management strategies for ICI-IA.

Main Results:

  • ICI-IA onset can range from immediately after treatment to over a year later.
  • Various irAEs, including IA, sicca syndrome, polymyalgia rheumatica, myositis, and vasculitis, are associated with ICIs.
  • Management decisions for ICI-IA are multifactorial.

Conclusions:

  • ICI-IA is a significant irAE requiring careful consideration.
  • Effective ICI-IA management necessitates a personalized approach.
  • Patient and clinical factors are crucial in guiding ICI-IA treatment strategies.