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