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. 2025 Oct 20;15(1):66–73. doi: 10.1007/s13691-025-00816-4

Table 2.

Characteristics of five patients with GPA after immunotherapy reported in previous studies

No Author Year Age Gender Primary disease ICI Symptoms Duration from ICI to symptom onset (days) c-ANCA (U/ml) Diagnostic examination GPA Treatment GPA outcome Cancer treatment after GPA
1 Brom 2016 56 F Melanoma Pembrolizumab

Lung nodule

Proteinuria

Fever and purpura

7 Positive

Biopsy of skin

ANCA

PSL pulse and

cyclophosphamide

Remission Not assessed
2 Sibille 2019 64 M Lung cancer Pembrolizumab Muscle pain 10 178

Biopsy of pleura, skin and lung

ANCA

PSL pulse Relapsed after 8 month and treated with PSL Chemotherapy
3 Nabel 2019 56 M Urothelial cancer Pembrolizumab

Lung nodule

Fatigue and arthritis

7 204 Biopsy of lung PSL Relapsed after 4 months and remission by rituximab Chemotherapy
4 Hung 2021 66 F Melanoma Ipilimumab + nivolumab

Hemoptysis

Proteinuria

Headache, arthritis and purpura

21 1501

Biopsy of kidney

ANCA

PSL pulse, rituximab and infliximab Remission but suffered from secondary diabetes mellitus and renal failure Not assessed
5 Ours 2025 75 F Hepatic cell carcinoma

1. Durvalumab + tremelimumab

2. Atezolizumab + bevacizumab

Mastitis

Cough and blood sputum

1. 120

2. 14

76

Biopsy of breast and lung

ANCA

PSL Good response but secondary mycosis BSC

ICI immune checkpoint inhibitor; GPA granulomatosis with polyangiitis; PSL prednisolone; BSC best supportive care