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J Dermatol ; 45(6): 735-737, 2018 Jun.
Article in English | MEDLINE | ID: mdl-29488243

ABSTRACT

Although uveitis is reported as a rare adverse event (AE) associated with dabrafenib/trametinib therapy or nivolumab, the occurrence of severe uveitis is extremely rare. We describe two cases of Vogt-Koyanagi-Harada (VKH)-like uveitis developing after the sequential administration of nivolumab and dabrafenib/trametinib therapy. Interestingly, both cases had HLA-DRB1*04:05, which is strongly associated with VKH disease, and achieved biologically complete remission after the treatment for uveitis. Our cases suggest a possible correlation between VKH-like uveitis as an AE and the clinical outcomes of sequential administration of nivolumab and dabrafenib/trametinib therapy for the treatment of advanced melanoma.


Subject(s)
Antineoplastic Combined Chemotherapy Protocols/adverse effects , HLA-DRB1 Chains/blood , Melanoma/drug therapy , Skin Neoplasms/drug therapy , Uveomeningoencephalitic Syndrome/chemically induced , Adult , Aged , Antibodies, Monoclonal/adverse effects , Choroid/diagnostic imaging , Choroid/pathology , Female , Glucocorticoids/pharmacology , Glucocorticoids/therapeutic use , HLA-DRB1 Chains/immunology , Humans , Imidazoles/adverse effects , Magnetic Resonance Imaging , Male , Nivolumab , Oximes/adverse effects , Pyridones/adverse effects , Pyrimidinones/adverse effects , Treatment Outcome , Uveomeningoencephalitic Syndrome/blood , Uveomeningoencephalitic Syndrome/drug therapy , Uveomeningoencephalitic Syndrome/immunology , Visual Acuity/drug effects
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