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. 2023 Jul 18;16(7):e252766. doi: 10.1136/bcr-2022-252766

Table 1.

Summary of ICI-induced exclusively cutaneous SLRs

Sex/age Primary disease Agent Onset after initiation of ICI (doses) Clinical presentation Management of SLR Outcome of SLR Study
F/60 Lung adenocarcinoma Ipilimumab+nivolumab 7 months (3 doses ipilimumab, 10 doses nivolumab) 1–4 mm pink papules, some coalescing into plaques on posterior neck, upper arms and malar cheeks Topical corticosteroids Improvement but not resolution Suozzi et al17
F/63 Lung adenocarcinoma Nivolumab 3.5 months (7 doses) 2–6 mm scaly, erythematous papules coalescing into plaques on bilateral periorbital area and posterior neck, progressing to red-brown plaques involving glabella and nasal bridge No improvement with TCS, ICI held for 1 cycle, systemic corticosteroids, hydroxychloroquine Resolution Birnbaum et al18
F/57 Ovarian carcinoma Ipilimumab+nivolumab 10 months 1–3 cm tender, subcutaneous nodules on lower extremities, forearm and hip D/c ICI Resolved Tetzlaff et al19
F/39 Melanoma Nivolumab 3 months (6 doses) Painful subcutaneous nodules on bilateral lower extremities and buttocks D/c ICI, systemic steroids, hydroxychloroquine Resolution Tetzlaff et al19
F/56 Melanoma Nivolumab 4+ months FDG-avid subcutaneous nodules Excision Not reported Ogawa et al20
M/72 Melanoma Pembrolizumab 22 months Subcutaneous nodules None Not resolved Dimitriou et al21
M/64 Melanoma Pembrolizumab 2 months 2 mm pigmented nodule on right submandibular area None Not reported Woodbeck et al22
M/67 Melanoma Ipilimumab 2 years Coalescent papular lesions on back, face, arms, legs, hands, feet, groin and hips D/c ICI, systemic, intramuscular and topical corticosteroids Resolved Cervantes et al23
F/49 Renal cell carcinoma Ipilimumab+nivolumab 1 month (1 dose) Subcutaneous nodules on left forearm and elbow D/c ICI Improving Mobini et al7
M/58 Melanoma Ipilimumab 1 month Erythematous, scaly tender papules, plaques and nodules on black tattooed areas on chest, shoulders, upper back, left forearm and right thigh D/c ICI, topical, intramuscular and systemic corticosteroids Improving Mobini et al7
M/57 Melanoma Nivolumab or ipilimumab+nivolumab 1.3 months Cutaneous lesions Not reported, ICI continued Resolved Chorti et al24
M/36 Melanoma Nivolumab (exacerbated by addition of BRAF‐inhibitor) 19 months Micropapules in axilla and inguinal crease Hydroxychloroquine, D/c
BRAF‐inhibitor
Resolved Pham et al15
F/70 Breast adenocarcinoma Pembrolizumab 1 month Shiny, pink to brown patches and plaques on the face, flat-topped, red-brown to violaceous indurated papules on dorsal upper extremities Topical corticosteroids, topical calcineurin inhibitors Improving Current study

D/c, discontinue; F, female; ICI, immune checkpoint inhibitor; M, male; SLRs, sarcoid-like reactions; TCS, topical corticosteroids.