TABLE 2.
Total | |
---|---|
n = 10 | |
Clinical symptoms | |
General fatigue, n (%) | 6 (60) |
Loss of appetite, n (%) | 6 (60) |
Loss of body weight, n (%) | 2 (20) |
Central nervous systems, n (%) | 3 (30) |
Nausea, n (%) | 1 (10) |
Fever, n (%) | 3 (30) |
No symptoms, n (%) | 1 (10) |
Laboratory findings | |
Hyponatremia, n (%) | 9 (90) |
Hypoglycemia, n (%) | 2 (20) |
Eosinophilia, n (%) | 4 (40) |
Cycles (range) | 7.5 (range 4–14) |
Onset time (range), month | 8.0 (3.8–15.2) |
CTCAE grade (2/3/4), n (%) | 1(10)/8(80)/1(10) |
Serum ACTH | |
Low ACTH, n (%) | 10 (100) |
Pituitary deficiencies | |
Isolated ACTH deficiency, n (%) | 5 (50) |
ACTH and gonadotropic deficiency, n (%) | 1 (10) |
No hormonal dynamic test | 4 (40) |
Pituitary MRI | |
No abnormality, n (%) | 8 (80) |
No imaging, n (%) | 2 (20) |
Treatment | |
Corticosteroid replacement | 10 (10) |
Re‐administration of pembrolizumab | |
Yes | 5 (50) |
No | 5 (50) |
Note: Definitions: hyponatremia <135 mEq/L; hypoglycemia <65 mg/dl; eosinophilia >500/μL.
Abbreviations: ACTH, adrenocorticotropic hormone; CTCAE, common terminology criteria for adverse event v5.0; MRI, magnetic resonance imaging.