(The Japanese Society of Internal Medicine, 2018) Kishi, Seiji; Minato, Masanori; Saijo, Atsuro; Murakami, Naoka; Tamaki, Masanori; Matsuura, Motokazu; Murakami, Taichi; Nagai, Kojiro; Abe, Hideharu; Nishioka, Yasuhiko; Doi, Toshio
Immune checkpoint inhibitors (ICIs) are becoming a common and important cancer therapy. ICIs are associated with a unique category of side effects, termed immune-related adverse events (irAEs). We herein report the case of a 72-year-old man with postoperative recurrence of lung squamous cell carcinoma who was treated with nivolumab and who developed proteinuria and a worsening kidney function. A kidney biopsy revealed IgA nephropathy. After drug withdrawal, the proteinuria improved and the deterioration of the patient's renal function was halted. Although renal irAEs are considered to be rare and glomerulonephritis is not typical presentation, physicians need to pay more attention to renal irAEs and glomerular injury.
