Table 7.
Treatment | Grade |
|||
---|---|---|---|---|
G1 (hospitalization not required) | G2 (hospitalization not required) | G3 (hospitalization required) | G4 (hospitalization required, considering the ICU) | |
Glucocorticoids | Not recommended | Local use of glucocorticoids or systemic use of glucocorticoids, with oral administration of prednisone at 0.5–1 mg/ (kg·day) | Systemic therapy with glucocorticoids, oral administration of prednisone, or intravenous administration of methylprednisolone at 1–2 mg/(kg·day) | Systemic therapy with glucocorticoids, intravenous administration of methylprednisolone at 1–2 mg/(kg·day). For 3 consecutive days, if the symptoms are relieved, gradually reduce the dose to 1 mg/(kg·day) for maintenance, and then gradually reduce the dose until discontinuing the drug about 6 weeks later |
| ||||
Other immunosuppressive agents | Not recommended | Not recommended | For patients whose symptoms are not relieved after 3–5 days of glucocorticoid treatment, consider using it under the guidance of a specialist | For patients whose symptoms are not relieved after 3–5 days of glucocorticoid treatment, consider treatment under the guidance of a specialist |
| ||||
ICI treatment | Continue the treatment | Suspend the treatment | Discontinue and discuss whether to resume ICI treatment based on the patient's risk/benefit ratio | Permanent withdrawal |
ICU, intensive care unit.