Sintilimab-induced toxic epidermal necrolysis complicated in advanced gastric cancer: a case report and literature review

Although effective for gastric cancer, sintilimab may rarely induce life-threatening TEN. Early recognition, immediate ICI withdrawal, and coordinated multidisciplinary care are pivotal to survival. This case highlights the importance of early recognition, immediate discontinuation of ICIs, and coordinated multidisciplinary management in patients who develop life-threatening cutaneous immune-related adverse events.

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Publication Details

Journal
Frontiers in Immunology
Published
2026-03-02
DOI
https://doi.org/10.3389/fimmu.2026.1771194
Primary Topic
Drug-Induced Adverse Reactions
Type
article
Field-Weighted Citation Impact
0.00

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article

Sintilimab-induced toxic epidermal necrolysis complicated in advanced gastric cancer: a case report and literature review

Qi Zhao, Yandong Miao, Li-Na Wang, Rui-Bin Wang et al.
Frontiers in Immunology
Drug-Induced Adverse Reactions
article

Sintilimab-induced toxic epidermal necrolysis complicated in advanced gastric cancer: a case report and literature review

Qi Zhao, Yandong Miao, Li-Na Wang, Rui-Bin Wang, Hai-Peng Zou, Wei Zhang, Ling-Xia Yu, Rui-Ke Cao
article en

Abstract

Although effective for gastric cancer, sintilimab may rarely induce life-threatening TEN. Early recognition, immediate ICI withdrawal, and coordinated multidisciplinary care are pivotal to survival. This case highlights the importance of early recognition, immediate discontinuation of ICIs, and coordinated multidisciplinary management in patients who develop life-threatening cutaneous immune-related adverse events.

Frontiers in ImmunologyVol. 17
Academy of Medical Sciences (GB), Binzhou Medical University (CN), Shandong University of Aeronautics (CN), Xinhui People's Hospital (CN), Southern Medical University (CN), Hainan Medical University (CN)
Binzhou Medical University
Zero hunger
Openalex Percentile: Top 37%
Drug-Induced Adverse Reactions
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Sintilimab-induced toxic epidermal necrolysis complicated in advanced gastric cancer: a case report and literature review — Qi Zhao, Yandong Miao, et al. · Frontiers in Immunology (2026) | TGRS Research Map | TGRS