Table 1.
Published cases of patients with immune checkpoint inhibitor-induced celiac disease (ICI-CeD).
Sex, Age | ICI Name | Antibody | Endoscopic findings | Treatment | Ref. |
---|---|---|---|---|---|
M, 62 years old | Ipi | tTG-IgA + | Crypt apoptosis | Corticosteroid (prednisone) | Gentile et al. |
Anti-gliadin + | Crypt distortion | Infliximab | |||
Anti-endomysial – | Intraepithelial lymphocytosis | GFD | |||
W, 63 years old | Pembro | tTG-IgA – | Villous blunting | GFD only | Sethi et al. |
Anti-gliadin + | Crypt hyperplasia | ||||
W, 74 years old | Nivo | tTG-IgA + | Villous atrophy | GFD | Alsaadi et al. |
Ipi | Mucosal erosions | Corticosteroid (budesonide) | |||
Inflammation in lamina propria | |||||
Intraepithelial lymphocytosis | |||||
M, 79 years old | Pembro | tTG-IgA + | Villous atrophy | GFD (lack of adherence) | Arnouck et al. |
Anti-gliadin + | Lamina propria expansion, intraepithelial lymphocytes | Steroid (hydrocortisone) | |||
8 patients: | 5 anti PD(L)1 | tTG IgA: 8+/8 | Only 6 of 8: | GFD: 7/8: | Badran et al. |
2 W, 6 M | 1 anti-CTLA4 | inflammation, mucosal atrophy, mucosal ulcers or erosions (2/6), villous blunting (5/6), increased IELs (4/6), LP cellularity (6/6), surface erosion/ulceration (5/6) | - GFD alone: 5/8 | ||
From 44 to 73 years old | 2 combined | - GFD + steroid: 2/8 | |||
Steroid + infliximab: 1/8 |
GFD, gluten-free diet, ICI, immune checkpoint inhibitor; IELs, intraepithelial lymphocytes; Ipi, Ipilimumab; LP, lamina propria, M, man; Nivo, Nivolumab, Pembo, pembrolizumab, PPI, proton pump inhibitors; tTG-IgA, tissue transglutaminase IgA antibodies; W, woman.