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S Ipilimumab Peripheral neuropathy: 2 case reportsTwo men developed severe peripheral neuropathy while receiving ipilimumab [routes not stated].A 57-year-old man received ipilimumab 10 mg/kg every 3 weeks after a melanoma resection. He developed rapidly progressive, painful sensory polyneuropathy after the second dose. He developed weakness of his distal lower extremities, and ipilimumab was discontinued. CSF studies showed elevated an protein level and WBC count. He received methylprednisolone, infliximab and immune globulin, but his condition deteriorated rapidly. He had no movement below the ankles, severe weakness, minimal strength in both hands and absent reflexes. His WBC and protein levels normalised within 5 days of receiving tacrolimus and methylprednisolone. At a 2-month follow-up, his symptoms had stabilised and his strength had improved.A 62-year-old man received ipilimumab 10 mg/kg for lung metastases, 7 years after resection of a melanoma. He developed dysaesthesias and experienced reduced proprioception below his ankles, after the fourth dose of ipilimumab. Ipilimumab was discontinued after the fifth dose, as he developed acute hepatitis. He received mycophenolate and methylprednisolone. His peripheral neuropathy resolved completely within a few months.
S Ipilimumab Peripheral neuropathy: 2 case reportsTwo men developed severe peripheral neuropathy while receiving ipilimumab [routes not stated].A 57-year-old man received ipilimumab 10 mg/kg every 3 weeks after a melanoma resection. He developed rapidly progressive, painful sensory polyneuropathy after the second dose. He developed weakness of his distal lower extremities, and ipilimumab was discontinued. CSF studies showed elevated an protein level and WBC count. He received methylprednisolone, infliximab and immune globulin, but his condition deteriorated rapidly. He had no movement below the ankles, severe weakness, minimal strength in both hands and absent reflexes. His WBC and protein levels normalised within 5 days of receiving tacrolimus and methylprednisolone. At a 2-month follow-up, his symptoms had stabilised and his strength had improved.A 62-year-old man received ipilimumab 10 mg/kg for lung metastases, 7 years after resection of a melanoma. He developed dysaesthesias and experienced reduced proprioception below his ankles, after the fourth dose of ipilimumab. Ipilimumab was discontinued after the fifth dose, as he developed acute hepatitis. He received mycophenolate and methylprednisolone. His peripheral neuropathy resolved completely within a few months.
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