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.