Skip to main content
  • Book
  • © 2021

Rheumatic Diseases and Syndromes Induced by Cancer Immunotherapy

A Handbook for Diagnosis and Management

  • Written in a handbook format with clinical tips for a variety of medical professionals

  • Discusses epidemiology, clinical manifestations, diagnosis, differential diagnosis, and treatment of rheumatic irAE

  • Includes management algorithms for arthritis, myositis, polymyalgia rheumatica, and Sjogren’s syndrome

  • Addresses cancer immunotherapy in patients with preexisting rheumatic diseases

Buy it now

Buying options

eBook USD 89.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Other ways to access

This is a preview of subscription content, log in via an institution to check for access.

Table of contents (16 chapters)

  1. Front Matter

    Pages i-xiv
  2. Introduction

    1. Front Matter

      Pages 1-1
    2. Cancer Immunology and the Evolution of Immunotherapy

      • Roza Nurieva, Margarita Divenko, Sang Kim
      Pages 3-29
  3. Immune-Related Adverse Events with Immune-Checkpoint Inhibitors

    1. Front Matter

      Pages 69-69
    2. Immune-Related Adverse Events with Immune Checkpoint Inhibitors: Arthritis

      • Laura C. Cappelli, Clifton O. Bingham III
      Pages 71-87
    3. Myositis

      • Andrew L. Mammen
      Pages 99-107
    4. Sicca Syndromes

      • Blake M. Warner, Alan N. Baer
      Pages 109-142
    5. Sarcoidosis

      • Xerxes Pundole, Manuel Ramos-Casals, Olivier Lambotte
      Pages 143-167
    6. Miscellaneous Rheumatic Syndromes

      • Tamiko R. Katsumoto, Xavier Mariette
      Pages 169-189
    7. Non-Rheumatic Immune-Related Adverse Events

      • Aanika Balaji, Bairavi Shankar, Jarushka Naidoo
      Pages 191-253
    8. Immune-Related Adverse Events with Other Cancer Immunotherapies

      • Sebastian Bruera, Cerena K. Leung
      Pages 255-269
  4. Cancer Immunotherapy in Patients with Pre-existing Rheumatic Diseases

    1. Front Matter

      Pages 271-271
    2. Cancer Immunotherapy in Patients with Preexisting Inflammatory Arthritis

      • Uma Thanarajasingam, Noha Abdel-Wahab
      Pages 273-291
  5. General Principles of Management

    1. Front Matter

      Pages 307-307
    2. Management of Rheumatic Immune-Related Adverse Events (irAEs): General Principles

      • Alexa Simon Meara, Leonard H. Calabrese
      Pages 309-321
    3. Benefit-Risk Considerations

      • Maria E. Suarez-Almazor
      Pages 323-333

About this book

With the increasing use of immune checkpoint inhibitors (ICI) across various cancers, the trends for indication at earlier stages, and the use of combination immunotherapy, the frequency of ICI-induced immune-related adverse events (irAE) is expected to grow substantially. Management of these irAE is challenging as it requires not only consideration of the toxicity but also risk-benefit ratios with respect to the primary cancer. Several rheumatic irAE have been reported with ICI therapy including arthritis, myositis, polymyalgia-like syndromes, sicca/Sjogren-like manifestations, and several other less common systemic autoimmune features commonly associated with connective tissue disease. 


This handbook provides clinicians with a comprehensive overview of the management of rheumatic irAE that develop from cancer immunotherapy. It focuses on the irAE seen with ICI, the most frequently used agents in treating cancer. It provides an overview of cancer immunology, immunotoxicity, and immunotherapies such as ICI, cytokine-based therapy, and CART. It examines the epidemiology, clinical manifestations, diagnosis, differential diagnosis, and treatment of a variety of rheumatic immune-related adverse events arising from these therapies. Chapters also cover cancer immunotherapy in patients with preexisting rheumatic diseases such as inflammatory arthritis and other connective tissue disorders. The book helps clinicians to distinguish the current types of cancer immunotherapy and general toxicity patterns, recognize and diagnose rheumatic clinical syndromes, understand the pathogenesis of irAE, and consider risk–benefit ratios when managing patients with rheumatic irAE.


Rheumatic Diseases and Syndromes Induced by Cancer Immunotherapy is an essential resource for physicians and related professionals, residents, fellows, graduate students and nurses alike in rheumatology, clinical immunology, oncology, and internal medicine.

Editors and Affiliations

  • Department of Health Services Research, University of Texas MD Anderson Cancer Center, Houston, USA

    Maria E. Suarez-Almazor

  • Department of Rheumatic and Immunologic Diseases, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, USA

    Leonard H. Calabrese

About the editors

Maria E. Suarez-Almazor, MD, PhD. 

Barnts Family Professor

Departments of Health Services Research and General Internal Medicine, Section of Rheumatology and Clinical Immunology

The University of Texas MD Anderson Cancer Center

FCT 9.5026

1400 Pressler St (Unit 1444)

Houston, TX, 77030

msalmazor@mdanderson.org


Leonard H. Calabrese, D.O.

Professor of Medicine, 

Cleveland Clinic Lerner College of Medicine

RJ Fasenmyer Chair of Clinical Immunology

Vice Chairman, Department of Rheumatic and Immunologic Diseases

College of Medicine of Case Western Reserve University

9500 Euclid Avenue, Desk A50

Cleveland, Ohio 44195

CALABRL@ccf.org


Bibliographic Information

  • Book Title: Rheumatic Diseases and Syndromes Induced by Cancer Immunotherapy

  • Book Subtitle: A Handbook for Diagnosis and Management

  • Editors: Maria E. Suarez-Almazor, Leonard H. Calabrese

  • DOI: https://doi.org/10.1007/978-3-030-56824-5

  • Publisher: Springer Cham

  • eBook Packages: Medicine, Medicine (R0)

  • Copyright Information: Springer Nature Switzerland AG 2021

  • Softcover ISBN: 978-3-030-56823-8Published: 17 February 2021

  • eBook ISBN: 978-3-030-56824-5Published: 16 February 2021

  • Edition Number: 1

  • Number of Pages: XIV, 363

  • Number of Illustrations: 3 b/w illustrations, 16 illustrations in colour

  • Topics: Rheumatology, Oncology, Immunology

Buy it now

Buying options

eBook USD 89.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Other ways to access