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Severe Immune Checkpoint Inhibitor-associated Gastritis Treated with Steroids and Infliximab.

Internal medicine (Tokyo, Japan) 2026 Vol.65(8) p. 1138-1142

Tanaka K, Morisawa T, Katayama N, Inoue K, Fumihara D, Takagi M, Sako T, Momose K, Noda M, Furumatsu K

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This case report describes a 77-year-old man with severe immune-related gastritis after receiving pembrolizumab for lung cancer.

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APA Tanaka K, Morisawa T, et al. (2026). Severe Immune Checkpoint Inhibitor-associated Gastritis Treated with Steroids and Infliximab.. Internal medicine (Tokyo, Japan), 65(8), 1138-1142. https://doi.org/10.2169/internalmedicine.5736-25
MLA Tanaka K, et al.. "Severe Immune Checkpoint Inhibitor-associated Gastritis Treated with Steroids and Infliximab.." Internal medicine (Tokyo, Japan), vol. 65, no. 8, 2026, pp. 1138-1142.
PMID 40967796

Abstract

This case report describes a 77-year-old man with severe immune-related gastritis after receiving pembrolizumab for lung cancer. Despite initial steroid therapy, he showed no improvement and was diagnosed with steroid refractory immune-related gastritis. Infliximab was added to steroid therapy, resulting in significant clinical and endoscopic improvement. This highlights the importance of early diagnosis of immune-related gastritis by endoscopic and histological findings. Prompt evaluation of steroid efficacy and the early use of infliximab in steroid refractory cases are emphasized for effective management of immune-related gastritis as the indications for immune checkpoint inhibitors have expanded.

MeSH Terms

Humans; Aged; Male; Infliximab; Gastritis; Immune Checkpoint Inhibitors; Antibodies, Monoclonal, Humanized; Lung Neoplasms; Treatment Outcome; Steroids; Drug Therapy, Combination

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