We describe a woman with triple-negative breast cancer who develops significant hypoxemic respiratory insufficiency after radiation and immunotherapy. She is treated with both corticosteroids and infliximab with improvement. Once corticosteroids are tapered off, she has a relapsed pneumonitis requiring repeat hospitalization, increased in corticosteroid dose and infliximab. The case highlights management of relapsed pneumonitis and management strategies. 

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Immune Checkpoint Inhibitor Therapy Induced Relapsing Pneumonitis

  • Saad Farooq,
  • Saadia A. Faiz,
  • Vickie R. Shannon,
  • Ajay Sheshadri

摘要

We describe a woman with triple-negative breast cancer who develops significant hypoxemic respiratory insufficiency after radiation and immunotherapy. She is treated with both corticosteroids and infliximab with improvement. Once corticosteroids are tapered off, she has a relapsed pneumonitis requiring repeat hospitalization, increased in corticosteroid dose and infliximab. The case highlights management of relapsed pneumonitis and management strategies.