We report a rare case of cholangiocarcinoma with suspected EBV-associated HLH that developed after sequential therapy with an ICI and BRAF/MEK inhibitors. Clinicians should consider HLH as a differential diagnosis in patients with a history of ICI therapy who present with severe unexplained inflammation or shock. Prompt diagnosis and multidisciplinary management are crucial to prevent death.
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Akira Shibata
Michihiro Ono
Shutaro Oiwa
Hokkaido University
Sapporo Medical University
Japan Steel Works (Japan)
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Shibata et al. (Sun,) studied this question.
www.synapsesocial.com/papers/69a52dbff1e85e5c73bf0cc5 — DOI: https://doi.org/10.1002/cnr2.70504