1 Department of Medical Oncology, Military Hospital Instruction Mohamed V, Rabat.
2 Department of oncology, Military Hospital Instruction Mohamed V, Rabat.
3 Medical Oncology Service, Military Hospital Instruction Mohamed V, Rabat.
World Journal of Advanced Research and Reviews, 2026, 30(03), 249-252
Article DOI: 10.30574/wjarr.2026.30.3.1570
Received on 23 April 2026; revised on 01 June 2026; accepted on 03 June 2026
Background: Immune checkpoint inhibitors (ICIs) have revolutionized metastatic melanoma treatment but cause immune-related adverse events (irAEs), particularly dermatologic toxicities. Vitiligo is a distinctive cutaneous irAE occurring predominantly in melanoma patients.
Objective: To report a case of ICI-induced vitiligo and discuss its pathophysiology, management, and prognostic significance.
Case Presentation: A 54-year-old man with stage IV melanoma received pembrolizumab. After 24 weeks, progressive depigmented macules appeared on the face, hands, and trunk, accentuating with continued treatment. Biopsy confirmed vitiligo. Pembrolizumab continued with topical corticosteroids. At 6 months, partial tumor response with persistent vitiligo.
Conclusion: Vitiligo is a benign irAE correlating with favorable antitumor response. ICI continuation is recommended. Multidisciplinary management optimizes outcomes.
Immune checkpoint inhibitors; Vitiligo; Cutaneous toxicity; Immunotherapy; Melanoma
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A. Debbagh, L. Alaoui and R. Tanz. Vitiligo induced by immune checkpoint inhibitors in metastatic melanoma: A case report and review of the literature. World Journal of Advanced Research and Reviews, 2026, 30(03), 249-252. Article DOI: https://doi.org/10.30574/wjarr.2026.30.3.1570