PMID- 30539508 OWN - NLM STAT- MEDLINE DCOM- 20190531 LR - 20200511 IS - 0065-2598 (Print) IS - 0065-2598 (Linking) VI - 995 DP - 2018 TI - Skin Reactions to Immune Checkpoint Inhibitors. PG - 117-129 LID - 10.1007/978-3-030-02505-2_5 [doi] AB - The novelty of immune checkpoint inhibitors has only recently led to the characterization of cutaneous adverse events (AEs). This, along with the substantial rate of cutaneous reactions, has left many clinicians without sufficient familiarity to diagnose and treat. Pruritus and rash are among the top five immune-related AEs reported in clinical trials for this class of therapy. Incidence varies between 35 and 50% for cutaneous AEs among the three FDA-approved drugs. Although only 2% are reported as grade 3 or 4 events, the quality of life impact can be significant for these patients and is best described in ipilimumab trials. 43.5% of ipilimumab patients have a cutaneous AE and, at our institution, 20% of them had a dose interruption as a result. This means potentially 9% of patients having dose interruption of ipilimumab because of their cutaneous AEs. In the following chapter, we will review the categories of these drugs, common cutaneous effects, their grading, and management options. FAU - Patel, Anisha B AU - Patel AB AD - Department of Dermatology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA. APatel11@mdanderson.org. FAU - Pacha, Omar AU - Pacha O AD - Department of Dermatology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA. LA - eng PT - Journal Article PT - Review PL - United States TA - Adv Exp Med Biol JT - Advances in experimental medicine and biology JID - 0121103 RN - 0 (Antibodies, Monoclonal) RN - 0 (Antineoplastic Agents) RN - 0 (Ipilimumab) SB - IM MH - Antibodies, Monoclonal MH - Antineoplastic Agents/*adverse effects/therapeutic use MH - Exanthema/*chemically induced MH - Humans MH - Immunotherapy/*adverse effects MH - Ipilimumab/*adverse effects/therapeutic use MH - Pruritus/*chemically induced MH - Quality of Life OTO - NOTNLM OT - Anti-CTLA-4 OT - Anti-PD-1 OT - Dermatitis OT - Immune checkpoint inhibitors OT - Immunotherapy OT - Ipilimumab OT - Nivolumab OT - Pruritus OT - Rash EDAT- 2018/12/13 06:00 MHDA- 2019/06/01 06:00 CRDT- 2018/12/13 06:00 PHST- 2018/12/13 06:00 [entrez] PHST- 2018/12/13 06:00 [pubmed] PHST- 2019/06/01 06:00 [medline] AID - 10.1007/978-3-030-02505-2_5 [doi] PST - ppublish SO - Adv Exp Med Biol. 2018;995:117-129. doi: 10.1007/978-3-030-02505-2_5.