Treatment of facial lipodystrophy induced by a biologic agent (IPD-1): a literature review

ABSTRACT Agents that inhibit programmed cell death (IPD-1) in T lymphocytes are indicated for patients with advanced cancer. However, some individuals may develop endocrinological conditions, such as diabetes, thyroid dysfunction, and lipodystrophy, after treatment. This systematic review and case r...

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Main Authors: Henri Friedhofer, Cristina Pires Camargo, Leandro Hirokazu Oshiro, Daniel de Almeida Rocha Valente, Rolf Gemperli
Format: Article
Language:English
Published: Instituto Israelita de Ensino e Pesquisa Albert Einstein 2024-11-01
Series:Einstein (São Paulo)
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Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082024000100509&lng=en&tlng=en
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author Henri Friedhofer
Cristina Pires Camargo
Leandro Hirokazu Oshiro
Daniel de Almeida Rocha Valente
Rolf Gemperli
author_facet Henri Friedhofer
Cristina Pires Camargo
Leandro Hirokazu Oshiro
Daniel de Almeida Rocha Valente
Rolf Gemperli
author_sort Henri Friedhofer
collection DOAJ
description ABSTRACT Agents that inhibit programmed cell death (IPD-1) in T lymphocytes are indicated for patients with advanced cancer. However, some individuals may develop endocrinological conditions, such as diabetes, thyroid dysfunction, and lipodystrophy, after treatment. This systematic review and case report of IPD-1 lipodystrophies describes a patient who received nivolumab treatment for advanced clear cell renal carcinoma and subsequently developed diabetes as well as facial and body lipodystrophy. The patient complained of social distress due to her facial appearance. We treated the facial lipodystrophy with autologous fat grafting, which proved to be effective for more than three years. This study showed the efficacy of IPD-1 lipodystrophy treatment with long-term follow-up.
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issn 2317-6385
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publishDate 2024-11-01
publisher Instituto Israelita de Ensino e Pesquisa Albert Einstein
record_format Article
series Einstein (São Paulo)
spelling doaj-art-89becc564d364f03aef08f915be361bb2025-08-20T01:57:59ZengInstituto Israelita de Ensino e Pesquisa Albert EinsteinEinstein (São Paulo)2317-63852024-11-012210.31744/einstein_journal/2024rc1111Treatment of facial lipodystrophy induced by a biologic agent (IPD-1): a literature reviewHenri Friedhoferhttps://orcid.org/0000-0002-3467-2222Cristina Pires Camargohttps://orcid.org/0000-0002-3134-0003Leandro Hirokazu Oshirohttps://orcid.org/0009-0005-8489-4228Daniel de Almeida Rocha Valentehttps://orcid.org/0000-0003-0310-7084Rolf Gemperlihttps://orcid.org/0000-0002-4147-4478ABSTRACT Agents that inhibit programmed cell death (IPD-1) in T lymphocytes are indicated for patients with advanced cancer. However, some individuals may develop endocrinological conditions, such as diabetes, thyroid dysfunction, and lipodystrophy, after treatment. This systematic review and case report of IPD-1 lipodystrophies describes a patient who received nivolumab treatment for advanced clear cell renal carcinoma and subsequently developed diabetes as well as facial and body lipodystrophy. The patient complained of social distress due to her facial appearance. We treated the facial lipodystrophy with autologous fat grafting, which proved to be effective for more than three years. This study showed the efficacy of IPD-1 lipodystrophy treatment with long-term follow-up.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082024000100509&lng=en&tlng=enCarcinomarenal cellNivolumabThyroid glandT-LymphocytesDiabetes mellitusLipodystrophyAdipose tissueApoptosis
spellingShingle Henri Friedhofer
Cristina Pires Camargo
Leandro Hirokazu Oshiro
Daniel de Almeida Rocha Valente
Rolf Gemperli
Treatment of facial lipodystrophy induced by a biologic agent (IPD-1): a literature review
Einstein (São Paulo)
Carcinoma
renal cell
Nivolumab
Thyroid gland
T-Lymphocytes
Diabetes mellitus
Lipodystrophy
Adipose tissue
Apoptosis
title Treatment of facial lipodystrophy induced by a biologic agent (IPD-1): a literature review
title_full Treatment of facial lipodystrophy induced by a biologic agent (IPD-1): a literature review
title_fullStr Treatment of facial lipodystrophy induced by a biologic agent (IPD-1): a literature review
title_full_unstemmed Treatment of facial lipodystrophy induced by a biologic agent (IPD-1): a literature review
title_short Treatment of facial lipodystrophy induced by a biologic agent (IPD-1): a literature review
title_sort treatment of facial lipodystrophy induced by a biologic agent ipd 1 a literature review
topic Carcinoma
renal cell
Nivolumab
Thyroid gland
T-Lymphocytes
Diabetes mellitus
Lipodystrophy
Adipose tissue
Apoptosis
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082024000100509&lng=en&tlng=en
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