Severe pemphigus vulgaris and cervical carcinoma treated with anti PD1 antibody pembrolizumab: A therapeutic dilemma?

Abstract Managing autoimmune diseases (AIDs) in the context of malignancies and vice versa is an intricate challenge for clinicians. Immunotherapies stimulate antitumor immune responses by blocking checkpoint molecules such as PD1. However, new onset or aggravation of autoimmune reactions are freque...

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Main Authors: Sophia Wasserer, Kristine Mayer, Svenja Rupp, Tilo Biedermann, Oliver J. Stoetzer, Moritz Hamann, Felix Lauffer
Format: Article
Language:English
Published: Wiley 2025-03-01
Series:JEADV Clinical Practice
Subjects:
Online Access:https://doi.org/10.1002/jvc2.589
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author Sophia Wasserer
Kristine Mayer
Svenja Rupp
Tilo Biedermann
Oliver J. Stoetzer
Moritz Hamann
Felix Lauffer
author_facet Sophia Wasserer
Kristine Mayer
Svenja Rupp
Tilo Biedermann
Oliver J. Stoetzer
Moritz Hamann
Felix Lauffer
author_sort Sophia Wasserer
collection DOAJ
description Abstract Managing autoimmune diseases (AIDs) in the context of malignancies and vice versa is an intricate challenge for clinicians. Immunotherapies stimulate antitumor immune responses by blocking checkpoint molecules such as PD1. However, new onset or aggravation of autoimmune reactions are frequent side effects of immunotherapies. Pemphigus vulgaris (PV) is a severe blistering autoimmune‐mediated skin disease requiring immune‐suppressive therapy. Here, we present a case, wherein a patient with severe PV underwent rituximab therapy, while simultaneously a newly diagnosed advanced cervical carcinoma was treated with pembrolizumab.
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issn 2768-6566
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spelling doaj-art-fed5c43554664a66b92b1a3c9577eca82025-08-20T02:40:33ZengWileyJEADV Clinical Practice2768-65662025-03-014125626110.1002/jvc2.589Severe pemphigus vulgaris and cervical carcinoma treated with anti PD1 antibody pembrolizumab: A therapeutic dilemma?Sophia Wasserer0Kristine Mayer1Svenja Rupp2Tilo Biedermann3Oliver J. Stoetzer4Moritz Hamann5Felix Lauffer6Department of Dermatology and Allergy Technical University of Munich Munich GermanyDepartment of Dermatology and Allergy Technical University of Munich Munich GermanyDepartment of Dermatology and Allergy Technical University of Munich Munich GermanyDepartment of Dermatology and Allergy Technical University of Munich Munich GermanyMedical Center for Hematology and Oncology Munich GermanyDepartment of Gynecology Red Cross Hospital Munich (Taxisstr.) Munich GermanyDepartment of Dermatology and Allergy Technical University of Munich Munich GermanyAbstract Managing autoimmune diseases (AIDs) in the context of malignancies and vice versa is an intricate challenge for clinicians. Immunotherapies stimulate antitumor immune responses by blocking checkpoint molecules such as PD1. However, new onset or aggravation of autoimmune reactions are frequent side effects of immunotherapies. Pemphigus vulgaris (PV) is a severe blistering autoimmune‐mediated skin disease requiring immune‐suppressive therapy. Here, we present a case, wherein a patient with severe PV underwent rituximab therapy, while simultaneously a newly diagnosed advanced cervical carcinoma was treated with pembrolizumab.https://doi.org/10.1002/jvc2.589cervical cancerICIImmunotherapyirAEPD1 Inhibitionpembrolizumab
spellingShingle Sophia Wasserer
Kristine Mayer
Svenja Rupp
Tilo Biedermann
Oliver J. Stoetzer
Moritz Hamann
Felix Lauffer
Severe pemphigus vulgaris and cervical carcinoma treated with anti PD1 antibody pembrolizumab: A therapeutic dilemma?
JEADV Clinical Practice
cervical cancer
ICI
Immunotherapy
irAE
PD1 Inhibition
pembrolizumab
title Severe pemphigus vulgaris and cervical carcinoma treated with anti PD1 antibody pembrolizumab: A therapeutic dilemma?
title_full Severe pemphigus vulgaris and cervical carcinoma treated with anti PD1 antibody pembrolizumab: A therapeutic dilemma?
title_fullStr Severe pemphigus vulgaris and cervical carcinoma treated with anti PD1 antibody pembrolizumab: A therapeutic dilemma?
title_full_unstemmed Severe pemphigus vulgaris and cervical carcinoma treated with anti PD1 antibody pembrolizumab: A therapeutic dilemma?
title_short Severe pemphigus vulgaris and cervical carcinoma treated with anti PD1 antibody pembrolizumab: A therapeutic dilemma?
title_sort severe pemphigus vulgaris and cervical carcinoma treated with anti pd1 antibody pembrolizumab a therapeutic dilemma
topic cervical cancer
ICI
Immunotherapy
irAE
PD1 Inhibition
pembrolizumab
url https://doi.org/10.1002/jvc2.589
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