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Verify against current guidelines, primary literature, staging manuals, and prescribing information before clinical use.
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Immune-Related Adverse Event (irAE) Management
Immune-related
adverse event
on checkpoint inhibitor
Grade 1
Grade 2
Grade 3
Grade 4
Special cases
Mild
Continue ICI + monitor
supportive care
Moderate
Hold ICI; prednisone 0.5–1 mg/kg
resume when ≤ grade 1
Severe
Hold/d-c ICI; methylpred 1–2 mg/kg
if no improvement 48–72h → infliximab / MMF
Life-threatening
Permanently discontinue ICI
IV methylpred 1–2 mg/kg + specialist
Myocarditis
High-dose steroids + permanent d-c
medical emergency
Endocrine
Hormone replacement
may continue ICI