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Table 1 Demographics and chemotherapy regimens of sixteen patients with plasma cell disorders and proteasome inhibitor-associated eyelid complications

From: Management and outcomes of proteasome inhibitor associated chalazia and blepharitis: a case series

Patients (n)

16

Average age (range)

62 (40–82)

Male (n)

5 (31%)

Female (n)

11 (69%)

Multiple myeloma isotype (n)

 IgGa

10 (71%)

 IgAb

3 (21%)

 Light Chain

1 (7%)

ALc amyloidosis with MGUSd (n)

2 (12.5%)

AL amyloid (n)

 Yes

4 (25%)

 No

10 (62.5%)

 Not tested

2 (12.5%)

ISSv at diagnosis (median)

1

Complete lines of therapy prior to ocular complication (n)

 0

12 (75%)

 1

1 (7%)

 2

2 (12.5%)

 3

1 (7%)

Bortezomib exposure (n)

 Naïve

12 (75%)

 Previous exposure

4 (25%)

Chemotherapy regimen at initial chalazia episode (n)

 Bortezomib, Lenalidomide, Dexamethasone

9 (64%)

 Bortezomib, Cyclophosphamide, Dexamethasone

3 (21%)

 Bortezomib, Dexamethasone

1 (7%)

 Carfilzomib, Pomalidomide, Dexamethasone

1 (7%)

Chemotherapy at initial blepharitis episode (n)

 Bortezomib, Lenalidomide, Dexamethasone

6 (60%)

 Bortezomib, Cyclophosphamide, Dexamethasone

2 (20%)

 Bortezomib, Cyclophosphamide, Pomalidomide, Thalidomide

1 (10%)

 Carfilzomib, Cyclophosphamide, Dexamethasone

1 (10%)

Concurrent steroid use at time of initial complication (n)

16 (100%)

Average time to onset of first eyelid complication (range)

103 days (6–258)

  1. aIgG = immunoglobulin G
  2. bIgA = immunoglobulin A
  3. cAL amyloidosis = amyloid light-chain amyloidosis
  4. dISS = International Staging System score for multiple myeloma