Abstract

Interleukin-2 (IL-2) is now registered for the treatment of renal cell carcinoma in a number of European countries. The subcutaneous (sc) route of administration is being used increasingly because of its better toxicity profile compared with higher dose intravenous (iv) protocols. We report here a patient who developed a lobular panniculitis at the site of sc IL-2 injection which prevents continuation of sc therapy. Subsequent administration of the same IL-2 dose by iv injection caused recurrence of the problem again necessitating discontinuation of IL-2 treatment.

Highlights

  • Sporadic cases of IL-2 associated erythema nodosum, fatal pemphigus vulgaris (IL-2 + Interferon-a) and life threatening bullous skin lesions (IL-2, concomitant administration of antibiotics) have been reported (Weinstein et al, 1987; Mier et al, 1988; Ramseur et al, 1989; Staunton et al, 1991)

  • We report here a patient who developed a lobular panniculitis at the site of sc IL-2 injection which prevents continuation of sc therapy

  • One of the observed sideeffects was local irritation with redness and swelling at the IL-2 injection sites, which has been reported to be tolerable to the patients (Atzpodien et al, 1990)

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