Unusual vasovagal-type autonomic dysfunction secondary to immune checkpoint inhibitor therapy.

BMJ Case Rep

Division of Cardiology, Department of Internal Medicine, Rush University Medical Center, Chicago, Illinois, USA.

Published: February 2023

We present the case of a patient with oral squamous cell carcinoma treated with the programmed death ligand inhibitor, pembrolizumab, an immune checkpoint inhibitor. She subsequently developed vasovagal-type autonomic dysfunction thought to be secondary to the pembrolizumab. The patient's vasovagal symptoms resolved with the initiation of oral glucocorticoids.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10016300PMC
http://dx.doi.org/10.1136/bcr-2022-251034DOI Listing

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We present the case of a patient with oral squamous cell carcinoma treated with the programmed death ligand inhibitor, pembrolizumab, an immune checkpoint inhibitor. She subsequently developed vasovagal-type autonomic dysfunction thought to be secondary to the pembrolizumab. The patient's vasovagal symptoms resolved with the initiation of oral glucocorticoids.

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