Pembrolizumab-associated immune-related hepatitis: a retrospective case report analysis
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By
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Ke-qian Chen
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Yang Chen
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Jing-Fu Peng
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Yi Huang
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Xiang Liu
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June 17, 2026
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Clinical Scorecard: Retrospective Analysis of Immune-Related Hepatitis Linked to Pembrolizumab: A Case Report Review
At a Glance
| Category | Detail |
| Condition | |
| Key Mechanisms | Dysregulation of liver immune tolerance (source needed). |
| Target Population | |
| Care Setting | |
Key Highlights
- Average patient age was 64.2 years, with a higher proportion of older males (source needed).
- Clinical manifestations included liver toxicity, neurological symptoms, and skin reactions (source needed).
- Corticosteroids were the primary treatment for immune-related hepatitis (source needed).
- Onset of hepatitis varied from 2 to 630 days after pembrolizumab initiation (source needed).
- Regular monitoring of liver function is essential during pembrolizumab treatment (source needed).
Guideline-Based Recommendations
Diagnosis
- Evaluate liver function and history of liver disease before initiating pembrolizumab (source needed).
Management
- Corticosteroids are recommended for treatment of immune-related hepatitis (source needed).
Monitoring & Follow-up
- Conduct regular monitoring of liver function during pembrolizumab treatment (source needed).
Risks
- Severe immune-related hepatitis can hinder the clinical application of ICIs (source needed).
Patient & Prescribing Data
42 patients with immune-related hepatitis after pembrolizumab treatment.
Corticosteroids are the mainstay of treatment for managing liver toxicity.
Clinical Best Practices
- Thoroughly assess liver function prior to pembrolizumab therapy (source needed).
- Promptly address any liver function abnormalities during treatment (source needed).
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