PMID- 34972971 OWN - NLM STAT- MEDLINE DCOM- 20220104 LR - 20220531 IS - 0065-2598 (Print) IS - 0065-2598 (Linking) VI - 1342 DP - 2021 TI - Skin Reactions to Immune Checkpoint Inhibitors. PG - 319-330 LID - 10.1007/978-3-030-79308-1_11 [doi] AB - Due to the novelty of immune checkpoint inhibitors, their cutaneous adverse events (AEs) have only been recently characterized. This, along with the substantial rate of cutaneous reactions, has left many clinicians without sufficient familiarity to diagnose and treat cutaneous AEs. 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 60% for cutaneous AEs among the seven FDA-approved drugs used as monotherapy or combination therapy. Although only 2% are reported as grade 3 or 4 events with monotherapy, the incidence can be as high as 6-9% for combination therapy and the impact on quality of life can be significant for these patients. Of ipilimumab patients, 43.5% have a cutaneous AE, and, at our institution, 20% of them had a dose interruption as a result. This means potentially 9% of patients have dose interruption of ipilimumab because of their cutaneous AEs. In the following chapter, we review the categories of these drugs, common cutaneous effects, their grading, and management options. CI - (c) 2021. The Author(s), under exclusive license to Springer Nature Switzerland AG. 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 (Immune Checkpoint Inhibitors) RN - 0 (Ipilimumab) SB - IM MH - *Exanthema/chemically induced MH - Humans MH - *Immune Checkpoint Inhibitors/adverse effects MH - Ipilimumab/adverse effects MH - Quality of Life OTO - NOTNLM OT - Anti-CTLA-4 OT - Dermatitis OT - Immune checkpoint inhibitors OT - Immunotherapy OT - Ipilimumab OT - Nivolumab Anti-PD-1 OT - Pruritus OT - Rash EDAT- 2022/01/02 06:00 MHDA- 2022/01/05 06:00 CRDT- 2022/01/01 05:27 PHST- 2022/01/01 05:27 [entrez] PHST- 2022/01/02 06:00 [pubmed] PHST- 2022/01/05 06:00 [medline] AID - 10.1007/978-3-030-79308-1_11 [doi] PST - ppublish SO - Adv Exp Med Biol. 2021;1342:319-330. doi: 10.1007/978-3-030-79308-1_11.