How do you manage new-onset vitiligo in a patient on immune checkpoint inhibitors?
Do you hold ICI, prescribe steroids, or refer to dermatology, and does your approach vary between curative, adjuvant, or metastatic settings?
Answer from: Medical Oncologist at Academic Institution
I refer to dermatology. There is really not much that can be done. Vitiligo usually stays and may resolve very slowly. The patient needs extensive education on sun protection. The decision to continue depends on the risk-benefit ratio and the discussion with the patient. For example, if this is a lo...