Lenalidomide-Induced Myocarditis, Rare But Possibly Fatal Toxicity of a Commonly Used Immunotherapy

Lenalidomide-Induced Myocarditis, Rare But Possibly Fatal Toxicity of a Commonly Used Immunotherapy

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A 66-year-old woman with follicular lymphoma on lenalidomide and Rockets rituximab presented with chest pain.High-sensitivity troponin T peaked at 7,566 ng/l.Cardiac biopsy revealed extensive inflammation consistent with medication-induced myocarditis.

Lenalidomide was stopped with improvement in troponins and patient was initiated on high-dose corticosteroid childrens backpacks therapy.(Level of Difficulty: Intermediate.).