Evidence map›Paper›PMID 34594337›Full record

ArticleFrontiers in immunology2021

Case Report: A Rare Case of Pembrolizumab-Induced Bullous Pemphigoid.

Xiaoyan Zhang, Dongjiang Sui, Dong Wang, Lina Zhang, Ruiyan Wang

Abstract readCase Reports
In one paragraph

Article in Frontiers in immunology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

13 citing papers in PubMed, 1 synthesis or guideline 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

5 authors.

Xiaoyan ZhangDepartment of Pulmonary and Critical Care Medicine, Air Force Medical Center, Beijing, China.
Dongjiang SuiDepartment of Pulmonary and Critical Care Medicine, Air Force Medical Center, Beijing, China.
Dong WangDepartment of Pulmonary and Critical Care Medicine, Air Force Medical Center, Beijing, China.
Lina ZhangDepartment of Pulmonary and Critical Care Medicine, Air Force Medical Center, Beijing, China.
Ruiyan WangDepartment of Dermatology, Air Force Medical Center, Beijing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The programmed cell death protein 1 inhibitor pembrolizumab, an immune checkpoint inhibitor, has subsequently been approved for the treatment of a wide variety of malignant tumors. Compared with conventional chemotherapy, immunotherapy is associated with a unique set of immune reactions, known collectively as immune-related adverse events. Although often mild, dermatologic toxicity can occasionally be high grade and potentially life-threatening. Here we describe a rare case of bullous pemphigoid (BP) associated with pembrolizumab. A 79-year-old male patient presented with scattered erythema, papules, blisters, and pruritus after pembrolizumab treatment. Then, the rash gradually aggravated and spread to the whole body. The extensive edematous erythema, blisters, bullae, and blood blisters were loose and easy to rupture, forming an erosive surface and with pruritus and obvious pain. The hemidesmosomal protein BP180 (type XVII collagen) was detectable in the serum, and the histological examination diagnosis was bullous pemphigoid. After 10 days of glucocorticoid (methylprednisolone, iv, 80 mg/day) treatment, new blister formation ceased. We need to increase the awareness on and facilitate the earlier identification of the cutaneous adverse effects of BP with immunotherapy so that treat can begin early in order to limit the duration and severity of toxicity.

Indexed as

AgedAntibodies, Monoclonal, HumanizedDrug EruptionsGlucocorticoidsHumansImmune Checkpoint InhibitorsMaleMethylprednisolonePemphigoid, BullousSkinTreatment OutcomeAntibodies, Monoclonal, HumanizedGlucocorticoidsImmune Checkpoint InhibitorsMethylprednisolonepembrolizumabbullous pemphigoidglucocorticoidimmunotherapypembrolizumabprogrammed cell death protein 1

Identifiers

PMID34594337
PMCPMC8477373

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Registered trials

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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.