Table 2.
irAE | Onset | Grade | Manifestation | Treatment |
---|---|---|---|---|
Dermatitis | Early (weeks) | 1–2 | Pruritis, maculopapular rash predominantly on trunk and extremities with facial sparing | Topical steroids or oral antihistamines, systemic steroids for Grade 3–4 |
Enterocolitis | Intermediate (weeks to months) | 1–2, can be more severe | Diarrhoea, nausea, vomiting, abdominal pain, rectal bleeding | Antidiarrheal agents; Grade 3–4 is an emergency requiring supportive cares and systemic steroids |
Thyroid dysfunction (hypo or hyperthyroidism) | Intermediate (weeks to months) | 1–2 | Signs/symptoms of hypo or hyperthyroidism | Hypothyroidism—thyroxine Hyperthyroidism—anti-thyroid drugs, radioactive iodine |
Hepatitis | Intermediate (weeks to months) | 1–2 | Acute transaminitis | Systemic steroids in more severe cases |