RT Journal Article
SR Electronic
T1 Immunotherapy-induced coeliac disease in curative lung cancer
JF BMJ Case Reports
JO BMJ Case Reports
FD BMJ Publishing Group Ltd
SP e243406
DO 10.1136/bcr-2021-243406
VO 14
IS 9
A1 Hannah Walton
A1 Samantha Hopkins
A1 Alan Shand
A1 Shahida Din
YR 2021
UL http://casereports.bmj.com/content/14/9/e243406.abstract
AB The advent of immunotherapy has revolutionised the treatment of metastatic lung cancer and it has recently been established as the standard of care in the radical treatment of lung cancer. However, immune-related adverse events (IrAEs) frequently occur in patients treated with immunotherapy, and rare IrAEs continue to be identified. We report a case of immunotherapy-induced coeliac disease due to adjuvant durvalumab post-chemoradiotherapy in a patient receiving curative treatment for lung cancer. The patient had raised anti-tissue transglutaminase IgA and histological findings consistent with coeliac disease. This is the first published case report of probable immunotherapy-induced coeliac disease both with the immunotherapy drug durvalumab and in the curative lung cancer setting.