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Thyrotoxicosis induced by PD-1 inhibitor: a case report
Received:March 06, 2019  Revised:April 29, 2019  Click here to download the full text
Citation of this paper:孙潇泱,蒋晶晶,蔡青青,余一祎,刘天舒,高 鑫.Thyrotoxicosis induced by PD-1 inhibitor: a case report[J].Chinese Journal of Clinical Medicine,2019,26(3):511-封三
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Author NameAffiliation
孙潇泱,蒋晶晶,蔡青青,余一祎,刘天舒,高 鑫 1. 复旦大学附属中山医院内分泌科上海 200032 2. 复旦大学代谢性疾病研究所上海 200032 3. 复旦大学附属中山医院药剂科上海 200032 4. 复旦大学附属中山医院肿瘤内科上海 200032 
Abstract:We report a case of thyrotoxicosis caused by a PD-1 (programmed death-1) inhibitor. The patient was a 45-year-old female diagnosed with metastatic squamous cell carcinoma. She experienced palpitation, hyperhidrosis and increased appetite 18 days after first PD-1 inhibitor pembrolizumab administration. Laboratory examinations showed elevated free triiodothyronine and free thyroxine, indicating autoimmune thyroiditis caused by PD-1 inhibitor. Her clinical symptoms were relieved afterβ-blocker was used. This case suggested us to strengthen the monitoring of thyroid function and antithyroid antibody levels in patients receiving PD-1 inhibitors, especially in the first 1-2 months of treatment and thus to timely identify and treat thyroid dysfunction.
keywords:PD-1 inhibitor  pembrolizumab  thyrotoxicosis  thyroiditis
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