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July 2021; 8 (4) Clinical/Scientific NotesOpen Access

Pembrolizumab-Associated CD8+ Vasculitic Mononeuritis Multiplex in a Patient With Mesothelioma

Michaela C. Baldauf, Monika Kapauer, Markus Joerger, Lukas Flatz, Regulo Rodriguez, Stephan Frank, Ansgar Felbecker, Susanne Hartmann-Fussenegger, Thomas Hundsberger
First published April 6, 2021, DOI: https://doi.org/10.1212/NXI.0000000000000993
Michaela C. Baldauf
From the Department of Neurology (M.C.B., M.K., A.F., S.H.-F.); Department of Hematology and Oncology (M.J.); Department of Dermatology (L.F.); Department of Pathology (R.R.), Cantonal Hospital, St. Gallen; Department of Pathology (S.F.), University Hospital, Basel; and Department of Neurology and Department of Hematology and Oncology (T.H.), Cantonal Hospital St. Gallen, Switzerland.
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  • For correspondence: michaela.baldauf@kssg.ch
Monika Kapauer
From the Department of Neurology (M.C.B., M.K., A.F., S.H.-F.); Department of Hematology and Oncology (M.J.); Department of Dermatology (L.F.); Department of Pathology (R.R.), Cantonal Hospital, St. Gallen; Department of Pathology (S.F.), University Hospital, Basel; and Department of Neurology and Department of Hematology and Oncology (T.H.), Cantonal Hospital St. Gallen, Switzerland.
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  • For correspondence: monika.kapauer@kssg.ch
Markus Joerger
From the Department of Neurology (M.C.B., M.K., A.F., S.H.-F.); Department of Hematology and Oncology (M.J.); Department of Dermatology (L.F.); Department of Pathology (R.R.), Cantonal Hospital, St. Gallen; Department of Pathology (S.F.), University Hospital, Basel; and Department of Neurology and Department of Hematology and Oncology (T.H.), Cantonal Hospital St. Gallen, Switzerland.
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  • For correspondence: markus.joerger@kssg.ch
Lukas Flatz
From the Department of Neurology (M.C.B., M.K., A.F., S.H.-F.); Department of Hematology and Oncology (M.J.); Department of Dermatology (L.F.); Department of Pathology (R.R.), Cantonal Hospital, St. Gallen; Department of Pathology (S.F.), University Hospital, Basel; and Department of Neurology and Department of Hematology and Oncology (T.H.), Cantonal Hospital St. Gallen, Switzerland.
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  • For correspondence: lukas.flatz@kssg.ch
Regulo Rodriguez
From the Department of Neurology (M.C.B., M.K., A.F., S.H.-F.); Department of Hematology and Oncology (M.J.); Department of Dermatology (L.F.); Department of Pathology (R.R.), Cantonal Hospital, St. Gallen; Department of Pathology (S.F.), University Hospital, Basel; and Department of Neurology and Department of Hematology and Oncology (T.H.), Cantonal Hospital St. Gallen, Switzerland.
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  • For correspondence: regulo.rodriguez@kssg.ch
Stephan Frank
From the Department of Neurology (M.C.B., M.K., A.F., S.H.-F.); Department of Hematology and Oncology (M.J.); Department of Dermatology (L.F.); Department of Pathology (R.R.), Cantonal Hospital, St. Gallen; Department of Pathology (S.F.), University Hospital, Basel; and Department of Neurology and Department of Hematology and Oncology (T.H.), Cantonal Hospital St. Gallen, Switzerland.
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  • For correspondence: stephan.frank@usb.ch
Ansgar Felbecker
From the Department of Neurology (M.C.B., M.K., A.F., S.H.-F.); Department of Hematology and Oncology (M.J.); Department of Dermatology (L.F.); Department of Pathology (R.R.), Cantonal Hospital, St. Gallen; Department of Pathology (S.F.), University Hospital, Basel; and Department of Neurology and Department of Hematology and Oncology (T.H.), Cantonal Hospital St. Gallen, Switzerland.
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  • For correspondence: ansgar.felbecker@kssg.ch
Susanne Hartmann-Fussenegger
From the Department of Neurology (M.C.B., M.K., A.F., S.H.-F.); Department of Hematology and Oncology (M.J.); Department of Dermatology (L.F.); Department of Pathology (R.R.), Cantonal Hospital, St. Gallen; Department of Pathology (S.F.), University Hospital, Basel; and Department of Neurology and Department of Hematology and Oncology (T.H.), Cantonal Hospital St. Gallen, Switzerland.
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  • For correspondence: susanne.hartmann-fussenegger@kssg.ch
Thomas Hundsberger
From the Department of Neurology (M.C.B., M.K., A.F., S.H.-F.); Department of Hematology and Oncology (M.J.); Department of Dermatology (L.F.); Department of Pathology (R.R.), Cantonal Hospital, St. Gallen; Department of Pathology (S.F.), University Hospital, Basel; and Department of Neurology and Department of Hematology and Oncology (T.H.), Cantonal Hospital St. Gallen, Switzerland.
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Full PDF
Citation
Pembrolizumab-Associated CD8+ Vasculitic Mononeuritis Multiplex in a Patient With Mesothelioma
Michaela C. Baldauf, Monika Kapauer, Markus Joerger, Lukas Flatz, Regulo Rodriguez, Stephan Frank, Ansgar Felbecker, Susanne Hartmann-Fussenegger, Thomas Hundsberger
Neurol Neuroimmunol Neuroinflamm Jul 2021, 8 (4) e993; DOI: 10.1212/NXI.0000000000000993

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Article Information

vol. 8 no. 4 e993
DOI: 
https://doi.org/10.1212/NXI.0000000000000993
PubMed: 
33824184

Published By: 
Wolters Kluwer Health, Inc. on behalf of the American Academy of Neurology
Online ISSN: 
2332-7812
History: 
  • Received November 25, 2020
  • Accepted in final form February 22, 2021
  • First Published April 6, 2021.

Copyright & Usage: 
Copyright © 2021 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the American Academy of Neurology. This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License 4.0 (CC BY-NC-ND), which permits downloading and sharing the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.

Author Disclosures

    1. Michaela C. Baldauf, MD (michaela.baldauf@kssg.ch),
    2. Monika Kapauer, MD (monika.kapauer@kssg.ch),
    3. Markus Joerger, MD (markus.joerger@kssg.ch),
    4. Lukas Flatz, MD (lukas.flatz@kssg.ch),
    5. Regulo Rodriguez, MD (regulo.rodriguez@kssg.ch),
    6. Stephan Frank, MD (stephan.frank@usb.ch),
    7. Ansgar Felbecker, MD (ansgar.felbecker@kssg.ch),
    8. Susanne Hartmann-Fussenegger, MD (susanne.hartmann-fussenegger@kssg.ch) and
    9. Thomas Hundsberger, MD
  1. Michaela C. Baldauf, MD (michaela.baldauf@kssg.ch),
  2. Scientific Advisory Boards:
    1. NONE

    Gifts:
    1. NONE

    Funding for Travel or Speaker Honoraria:
    1. NONE

    Editorial Boards:
    1. NONE

    Patents:
    1. NONE

    Publishing Royalties:
    1. NONE

    Employment, Commercial Entity:
    1. NONE

    Consultancies:
    1. NONE

    Speakers' Bureaus:
    1. NONE

    Other Activities:
    1. NONE

    Clinical Procedures or Imaging Studies:
    1. NONE

    Research Support, Commercial Entities:
    1. NONE

    Research Support, Government Entities:
    1. NONE

    Research Support, Academic Entities:
    1. NONE

    Research Support, Foundations and Societies:
    1. NONE

    Stock/Stock Options/Board of Directors Compensation:
    1. NONE

    License Fee Payments, Technology or Inventions:
    1. NONE

    Royalty Payments, Technology or Inventions:
    1. NONE

    Stock/Stock Options, Research Sponsor:
    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:
    1. NONE

    Legal Proceedings:
    1. NONE

  3. Monika Kapauer, MD (monika.kapauer@kssg.ch),
  4. Scientific Advisory Boards:
    1. NONE

    Gifts:
    1. NONE

    Funding for Travel or Speaker Honoraria:
    1. NONE

    Editorial Boards:
    1. NONE

    Patents:
    1. NONE

    Publishing Royalties:
    1. NONE

    Employment, Commercial Entity:
    1. NONE

    Consultancies:
    1. NONE

    Speakers' Bureaus:
    1. NONE

    Other Activities:
    1. NONE

    Clinical Procedures or Imaging Studies:
    1. NONE

    Research Support, Commercial Entities:
    1. NONE

    Research Support, Government Entities:
    1. NONE

    Research Support, Academic Entities:
    1. NONE

    Research Support, Foundations and Societies:
    1. NONE

    Stock/Stock Options/Board of Directors Compensation:
    1. NONE

    License Fee Payments, Technology or Inventions:
    1. NONE

    Royalty Payments, Technology or Inventions:
    1. NONE

    Stock/Stock Options, Research Sponsor:
    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:
    1. NONE

    Legal Proceedings:
    1. NONE

  5. Markus Joerger, MD (markus.joerger@kssg.ch),
  6. Scientific Advisory Boards:
    1. None

    Gifts:
    1. NONE

    Funding for Travel or Speaker Honoraria:
    1. None

    Editorial Boards:
    1. NONE

    Patents:
    1. NONE

    Publishing Royalties:
    1. NONE

    Employment, Commercial Entity:
    1. NONE

    Consultancies:
    1. NONE

    Speakers' Bureaus:
    1. NONE

    Other Activities:
    1. NONE

    Clinical Procedures or Imaging Studies:
    1. NONE

    Research Support, Commercial Entities:
    1. NONE

    Research Support, Government Entities:
    1. NONE

    Research Support, Academic Entities:
    1. NONE

    Research Support, Foundations and Societies:
    1. None

    Stock/Stock Options/Board of Directors Compensation:
    1. NONE

    License Fee Payments, Technology or Inventions:
    1. NONE

    Royalty Payments, Technology or Inventions:
    1. NONE

    Stock/Stock Options, Research Sponsor:
    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:
    1. NONE

    Legal Proceedings:
    1. NONE

  7. Lukas Flatz, MD (lukas.flatz@kssg.ch),
  8. Scientific Advisory Boards:
    1. (1) Novartis (2) Bristol-Myers Squibb

    Gifts:
    1. NONE

    Funding for Travel or Speaker Honoraria:
    1. NONE

    Editorial Boards:
    1. NONE

    Patents:
    1. Arenavirus vaccine based vectors as cancer vaccines

    Publishing Royalties:
    1. NONE

    Employment, Commercial Entity:
    1. NONE

    Consultancies:
    1. NONE

    Speakers' Bureaus:
    1. NONE

    Other Activities:
    1. NONE

    Clinical Procedures or Imaging Studies:
    1. NONE

    Research Support, Commercial Entities:
    1. NONE

    Research Support, Government Entities:
    1. NONE

    Research Support, Academic Entities:
    1. NONE

    Research Support, Foundations and Societies:
    1. (1) Swiss National Science Foundation (2) Swiss Cancer League

    Stock/Stock Options/Board of Directors Compensation:
    1. NONE

    License fee payments, Technology or Inventions:
    1. (1) Arenavirus based vaccine vectors, source of payment (Hookipa Pharma)

    Royalty Payments, Technology or Inventions:
    1. NONE

    Stock/Stock Options, Research Sponsor:
    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:
    1. NONE

    Legal Proceedings:
    1. NONE

  9. Regulo Rodriguez, MD (regulo.rodriguez@kssg.ch),
  10. Scientific Advisory Boards:
    1. NONE

    Gifts:
    1. NONE

    Funding for Travel or Speaker Honoraria:
    1. NONE

    Editorial Boards:
    1. NONE

    Patents:
    1. NONE

    Publishing Royalties:
    1. NONE

    Employment, Commercial Entity:
    1. NONE

    Consultancies:
    1. NONE

    Speakers' Bureaus:
    1. NONE

    Other Activities:
    1. NONE

    Clinical Procedures or Imaging Studies:
    1. NONE

    Research Support, Commercial Entities:
    1. NONE

    Research Support, Government Entities:
    1. NONE

    Research Support, Academic Entities:
    1. NONE

    Research Support, Foundations and Societies:
    1. NONE

    Stock/Stock Options/Board of Directors Compensation:
    1. NONE

    License Fee Payments, Technology or Inventions:
    1. NONE

    Royalty Payments, Technology or Inventions:
    1. NONE

    Stock/Stock Options, Research Sponsor:
    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:
    1. NONE

    Legal Proceedings:
    1. NONE

  11. Stephan Frank, MD (stephan.frank@usb.ch),
  12. Scientific Advisory Boards:
    1. NONE

    Gifts:
    1. NONE

    Funding for Travel or Speaker Honoraria:
    1. NONE

    Editorial Boards:
    1. NONE

    Patents:
    1. NONE

    Publishing Royalties:
    1. NONE

    Employment, Commercial Entity:
    1. NONE

    Consultancies:
    1. NONE

    Speakers' Bureaus:
    1. NONE

    Other Activities:
    1. NONE

    Clinical Procedures or Imaging Studies:
    1. NONE

    Research Support, Commercial Entities:
    1. NONE

    Research Support, Government Entities:
    1. NONE

    Research Support, Academic Entities:
    1. NONE

    Research Support, Foundations and Societies:
    1. NONE

    Stock/Stock Options/Board of Directors Compensation:
    1. NONE

    License Fee Payments, Technology or Inventions:
    1. NONE

    Royalty Payments, Technology or Inventions:
    1. NONE

    Stock/Stock Options, Research Sponsor:
    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:
    1. NONE

    Legal Proceedings:
    1. NONE

  13. Ansgar Felbecker, MD (ansgar.felbecker@kssg.ch),
  14. Scientific Advisory Boards:
    1. NONE

    Gifts:
    1. NONE

    Funding for Travel or Speaker Honoraria:
    1. NONE

    Editorial Boards:
    1. NONE

    Patents:
    1. NONE

    Publishing Royalties:
    1. NONE

    Employment, Commercial Entity:
    1. NONE

    Consultancies:
    1. NONE

    Speakers' Bureaus:
    1. NONE

    Other Activities:
    1. NONE

    Clinical Procedures or Imaging Studies:
    1. NONE

    Research Support, Commercial Entities:
    1. NONE

    Research Support, Government Entities:
    1. NONE

    Research Support, Academic Entities:
    1. NONE

    Research Support, Foundations and Societies:
    1. NONE

    Stock/Stock Options/Board of Directors Compensation:
    1. NONE

    License Fee Payments, Technology or Inventions:
    1. NONE

    Royalty Payments, Technology or Inventions:
    1. NONE

    Stock/Stock Options, Research Sponsor:
    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:
    1. NONE

    Legal Proceedings:
    1. NONE

  15. Susanne Hartmann-Fussenegger, MD (susanne.hartmann-fussenegger@kssg.ch) and
  16. Scientific Advisory Boards:
    1. NONE

    Gifts:
    1. NONE

    Funding for Travel or Speaker Honoraria:
    1. NONE

    Editorial Boards:
    1. NONE

    Patents:
    1. NONE

    Publishing Royalties:
    1. NONE

    Employment, Commercial Entity:
    1. NONE

    Consultancies:
    1. NONE

    Speakers' Bureaus:
    1. NONE

    Other Activities:
    1. NONE

    Clinical Procedures or Imaging Studies:
    1. NONE

    Research Support, Commercial Entities:
    1. NONE

    Research Support, Government Entities:
    1. NONE

    Research Support, Academic Entities:
    1. NONE

    Research Support, Foundations and Societies:
    1. NONE

    Stock/Stock Options/Board of Directors Compensation:
    1. NONE

    License Fee Payments, Technology or Inventions:
    1. NONE

    Royalty Payments, Technology or Inventions:
    1. NONE

    Stock/Stock Options, Research Sponsor:
    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:
    1. NONE

    Legal Proceedings:
    1. NONE

  17. Thomas Hundsberger, MD
  18. Scientific Advisory Boards:
    1. (1)Bayer, Switzerland (2)Sanofi/Genzyme, Switzerland (3) Novocure, Switzerland

    Gifts:
    1. NONE

    Funding for Travel or Speaker Honoraria:
    1. NONE

    Editorial Boards:
    1. NONE

    Patents:
    1. NONE

    Publishing Royalties:
    1. NONE

    Employment, Commercial Entity:
    1. NONE

    Consultancies:
    1. (1) Sanofi/Genzyme, Switzerland

    Speakers' Bureaus:
    1. NONE

    Other Activities:
    1. NONE

    Clinical Procedures or Imaging Studies:
    1. NONE

    Research Support, Commercial Entities:
    1. (1) Baxter, Switzerland

    Research Support, Government Entities:
    1. NONE

    Research Support, Academic Entities:
    1. NONE

    Research Support, Foundations and Societies:
    1. NONE

    Stock/Stock Options/Board of Directors Compensation:
    1. NONE

    License Fee Payments, Technology or Inventions:
    1. NONE

    Royalty Payments, Technology or Inventions:
    1. NONE

    Stock/Stock Options, Research Sponsor:
    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:
    1. NONE

    Legal Proceedings:
    1. NONE

  1. From the Department of Neurology (M.C.B., M.K., A.F., S.H.-F.); Department of Hematology and Oncology (M.J.); Department of Dermatology (L.F.); Department of Pathology (R.R.), Cantonal Hospital, St. Gallen; Department of Pathology (S.F.), University Hospital, Basel; and Department of Neurology and Department of Hematology and Oncology (T.H.), Cantonal Hospital St. Gallen, Switzerland.
  1. Correspondence
    Dr. Hundsberger thomas.hundsberger{at}kssg.ch
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