Evidence map›Paper›PMID 32953529›Full record

ArticleTranslational lung cancer research2020

Vitiligo-like depigmentation after pembrolizumab treatment in patients with non-small cell lung cancer: a case report.

Sook Jung Yun, In-Jae Oh, Cheol Kyu Park, Young-Chul Kim, Hyeon Bin Kim, Hee-Kyung Kim, A Ram Hong, In-Young Kim, Sung-Ja Ahn, Kook-Joo Na and 1 more

Open access · diamondAbstract readCase Reports
In one paragraph

Article in Translational lung cancer research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 24% of its field
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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Pooled it
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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

11 authors at 3 institutions in 1 country.

Sook Jung YunDepartment of Dermatology, Chonnam National University Medical School, Gwangju, Korea.
In-Jae OhLung and Esophageal Cancer Clinic, Chonnam National University Hwasun Hospital, Jeonnam, Korea.
Cheol Kyu ParkLung and Esophageal Cancer Clinic, Chonnam National University Hwasun Hospital, Jeonnam, Korea.
Young-Chul KimLung and Esophageal Cancer Clinic, Chonnam National University Hwasun Hospital, Jeonnam, Korea.
Hyeon Bin KimDepartment of Dermatology, Chonnam National University Medical School, Gwangju, Korea.
Hee-Kyung KimDepartment of Internal Medicine, Chonnam National University Medical School, Gwangju, Korea.
A Ram HongDepartment of Internal Medicine, Chonnam National University Medical School, Gwangju, Korea.
In-Young KimLung and Esophageal Cancer Clinic, Chonnam National University Hwasun Hospital, Jeonnam, Korea.
Sung-Ja AhnLung and Esophageal Cancer Clinic, Chonnam National University Hwasun Hospital, Jeonnam, Korea.
Kook-Joo NaLung and Esophageal Cancer Clinic, Chonnam National University Hwasun Hospital, Jeonnam, Korea.
Yoo-Duk ChoiLung and Esophageal Cancer Clinic, Chonnam National University Hwasun Hospital, Jeonnam, Korea.
Chonnam National University Hwasun Hospital · KRChonnam National University · KRChonnam National University Hospital · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Immune checkpoint inhibitors (ICIs) targeting programmed death-1 (PD-1) pathway have significantly improved outcomes for patients with a variety of malignancies, including non-small cell lung cancer (NSCLC). In contrast, the incidence of immune-related cutaneous adverse events such as vitiligo have been on the rise because of the increasing use of ICIs. Vitiligo-like depigmentation has been reported in only 2.0% to 8.3% of patients with melanoma and is considered a favorable prognostic factor. However, it has been rarely reported in patients with non-melanoma malignancies. We describe a case of vitiligo-like skin depigmentation after pembrolizumab use in a patient with stage IV NSCLC. Multiple ill-defined painless and non-pruritic depigmented patches appeared on the patient's hands, scrotum, and lower lip after five months of pembrolizumab. We continued treatment with pembrolizumab 2 mg/kg for 14 months with close monitoring of vitiligo lesions until the progression of brain metastasis, but the vitiligo-like depigmentation did not improve by the combined excimer laser and topical corticosteroid therapy. Clinicians should be aware that immune-related cutaneous adverse events such as vitiligo-like depigmentation are not limited to cases of melanoma but arise as a direct result of anti-PD-1 therapy.

Indexed as

case reportImmunotherapylung neoplasmprogrammed cell death-1 receptorvitiligo

Identifiers

PMID32953529
PMCPMC7481606
OpenAlexW3037522310

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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 OpenQuestion graph.