Erythema multiforme major in a patient with metastatic melanoma treated with nivolumab
- Author(s): Sundaresan, Swami;
- Nguyen, Kathleen T;
- Nelson, Kelly C;
- Ivan, Doina;
- Patel, Anisha B
- et al.
Published Web Locationhttps://doi.org/10.5070/D3239036484
Nivolumab, a relatively novel immune checkpoint inhibitor with FDA approval in 2014, is gaining greater utilization due to its efficacy in treating metastatic melanoma. Many of the cutaneous immune-related adverse events (irAEs) being catalogued do not necessitate discontinuation of immunotherapy and are managed with supportive therapy. We present a case of erythema multiforme major secondary to nivolumab requiring hospitalization and discontinuation of treatment. This is only the second reported case of nivolumab-induced erythema multiforme in the literature we are aware of, and emphasizes the importance of oncologists working in conjunction with dermatologists for prompt diagnosis and management.