Clinical and histologic characteristics of MARs
. | RAM . |
---|---|
No. of rash episodes/patient (n = 14 patients) | |
1 | 10 (71) |
2 | 4 (29) |
Mean time to first skin rash, d (n = 14 patients) | 100 [15-336] |
Rash CTCAE grade (n = 18 rashes) | |
1 | 4 (22) |
2 | 11 (61) |
3 | 2 (11) |
NA | 1 (6) |
Clinical presentation (n = 18 rashes) | |
Papules or plaques | 13 (72) |
Macules without papules or plaques | 5 (28) |
Facial edema | 5 (28) |
Mucosal involvement | 3 (17) |
Erythroderma | 2 (11) |
Scaling of the scalp | 2 (11) |
Pustules | 1 (6) |
Histopathologic patterns (n = 18 rashes) | |
Granulomatous | 10 (56) |
Lichenoid | 9 (50) |
Psoriasiform/spongiotic | 13 (72) |
Immunohistochemical analysis (n = 18 rashes) | |
Intraepidermal CD8+ T cells | 13 (72) |
CD4+/CD8+ T-cell ratio | 3.5 [0.25-10] |
PD1+ cells (% lymphoid cells) | 28.9 [0-80] |
Associated findings (n = 14 patients) | |
Pruritus | 6 (43) |
Fever | 2 (14) |
Elevated serum creatinine | 1 (7) |
Autoimmune disease (vitiligo, alopecia areata, autoimmune hepatitis, autoimmune thyroiditis) | 5 (36) |
Management (n = 18 rashes) | |
Hospital admission | 1 (6) |
Class III topical steroids | 12 (67) |
Class IV topical steroids | 4 (22) |
Antihistamines | 2 (11) |
No specific treatment | 1 (6) |
Discontinuation of mogamulizumab (n = 18 rashes) | |
No | 8 (44) |
Yes, temporarily | 6 (33) |
Yes, permanently | 4 (22) |
Recurrence after rechallenge (n = 6 rechallenges) | 4 (66) |
. | RAM . |
---|---|
No. of rash episodes/patient (n = 14 patients) | |
1 | 10 (71) |
2 | 4 (29) |
Mean time to first skin rash, d (n = 14 patients) | 100 [15-336] |
Rash CTCAE grade (n = 18 rashes) | |
1 | 4 (22) |
2 | 11 (61) |
3 | 2 (11) |
NA | 1 (6) |
Clinical presentation (n = 18 rashes) | |
Papules or plaques | 13 (72) |
Macules without papules or plaques | 5 (28) |
Facial edema | 5 (28) |
Mucosal involvement | 3 (17) |
Erythroderma | 2 (11) |
Scaling of the scalp | 2 (11) |
Pustules | 1 (6) |
Histopathologic patterns (n = 18 rashes) | |
Granulomatous | 10 (56) |
Lichenoid | 9 (50) |
Psoriasiform/spongiotic | 13 (72) |
Immunohistochemical analysis (n = 18 rashes) | |
Intraepidermal CD8+ T cells | 13 (72) |
CD4+/CD8+ T-cell ratio | 3.5 [0.25-10] |
PD1+ cells (% lymphoid cells) | 28.9 [0-80] |
Associated findings (n = 14 patients) | |
Pruritus | 6 (43) |
Fever | 2 (14) |
Elevated serum creatinine | 1 (7) |
Autoimmune disease (vitiligo, alopecia areata, autoimmune hepatitis, autoimmune thyroiditis) | 5 (36) |
Management (n = 18 rashes) | |
Hospital admission | 1 (6) |
Class III topical steroids | 12 (67) |
Class IV topical steroids | 4 (22) |
Antihistamines | 2 (11) |
No specific treatment | 1 (6) |
Discontinuation of mogamulizumab (n = 18 rashes) | |
No | 8 (44) |
Yes, temporarily | 6 (33) |
Yes, permanently | 4 (22) |
Recurrence after rechallenge (n = 6 rechallenges) | 4 (66) |
Data are presented as No. (%) among patients or as mean [range]. CTCAE, Common Terminology Criteria for Adverse Events; NA, not available.