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Immunterapi med checkpointhaemmere og endokrinologiske bivirkninger
Engelsk titel: Immune checkpoint inhibitors and endocrinological side effects Läs online Författare: Yderstraede, Knud ; Bastholt, Lars ; Bisgaard Jörgensen, Line Språk: Dan Antal referenser: 30 Dokumenttyp: Översikt UI-nummer: 18020330

Tidskrift

Ugeskrift for Laeger 2018;180(2)132-6 ISSN 0041-5782 E-ISSN 1603-6824 KIBs bestånd av denna tidskrift Denna tidskrift är expertgranskad (Peer-Reviewed)

Sammanfattning

Immune checkpoint inhibitors including anti-cytotoxic T-lymphocyte-associated antigen-4 and anti-programmed cell death-1 have revolutionized cancer therapy but have also induced serious immune-related adverse events including hormonal dysfunction. The objective of this review is to characterize the incidence, clinical presentation, management and prognosis of the endocrine-related adverse events including hypophysitis, thyroid dysfunction and diabetes mellitus. Combination therapy is associated with an increased risk of adverse events. We recommend close monitoring of the hormone levels and glycaemic status during and a year after treatment.