Severe Dysphagia With Eosinophilic Esophagitis Pattern of Injury Related to Pembrolizumab Therapy

Authors

James S Barnett
Kevin K Yu
Xavier Rivera Rivera
Asmeen Bhatt

Publication Date

1-25-2024

Journal

ACG Case Reports Journal

Abstract

While immune checkpoint inhibitor (ICI) therapies are effective treatments for many cancers, ICI therapies are associated with immune-related adverse events. We present a 67-year-old man with non-small cell lung carcinoma, who developed severe dysphagia with biopsies from an esophagogastroduodenoscopy showing histopathology consistent with eosinophilic esophagitis while on ICI maintenance therapy with pembrolizumab. The patient's symptoms worsened despite standard therapy. However, he had complete resolution of dysphagia symptoms once pembrolizumab was discontinued. While immune-related adverse events affecting the gastrointestinal system are increasingly recognized, ICI-associated eosinophilic esophagitis is a rare entity.

Keywords

eosinophilic esophagitis, immune checkpoint inhibitor, pembrolizumab, dysphagia, immune related adverse event, PD-1 inhibitor

Comments

PMID: 38274298