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Common Cutaneous Side Effects of Anti-cancer Agents

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Abstract

Cutaneous side effects of anti-cancer agents affecting the skin, hair, nails and mucosa are commonly seen in the in-patient and out-patient settings. Here, we will review the various common cutaneous side effects by chemotherapy type: cytotoxic chemotherapies, EGFR inhibitors , multitargeted small molecule kinase inhibitors , BRAF inhibitors , MEK inhibitors , and checkpoint inhibitors . Some entities are more specific to certain anti-cancer classes such as hand foot syndrome for cytotoxic chemotherapies, papulopustular rashes for EGFR inhibitors , hand-foot skin reaction for multitargeted small molecule kinase inhibitors , and various autoimmune diseases with checkpoint inhibitors .

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Notes

  1. 1.

    Iberri DJ, Kwong BY, Stevens LA, Coutre SE, Kim J, Sabile JM, Advani RH. Ibrutinib-associated rash: a single-centre experience of clinicopathological features and management. Br J Haematol.

  2. 2.

    Stewart J, Bayers S, Vandergriff T. Self-limiting Ibrutinib-Induced Neutrophilic Panniculitis. Am J Dermatopathol. 2018 Feb; 40(2):e28–e29.

  3. 3.

    Dervis E, Ayer M, Akin Belli A, Barut SG. Cutaneous adverse reactions of imatinib therapy in patients with chronic myeloid leukemia: A six-year follow up. Eur J Dermatol. 2016 Apr 1;26(2):133–7.

  4. 4.

    Penn EH, Chung HJ, Keller M. Imatinib mesylate-induced lichenoid drug eruption. Cutis. 2017 Mar; 99(3):189–192. Review.

  5. 5.

    Al-Dawsari, Najla, et al. “Chapter 20: Histone Deacetylase Inhibitors, Proteasome Inhibitors, Demthylating Agents, Arsenicals, Retinoids.” Dermatologic Principles and Practice in Oncology: Conditions of the Skin, Hair, and Nails in Cancer Patients, by Mario E. Lacouture, Wiley-Blackwell, 2014, pp. 216–217.

  6. 6.

    Gabriel JG, Kapila A, Gonzalez-Estrada A. A Severe Case of Cutaneous Adverse Drug Reaction Secondary to a Novice Drug: Idelalisib. J Investig Med High Impact Case Rep. 2017 May 24; 5(2):2324709617711463.

  7. 7.

    de Weerdt I, Koopmans SM, Kater AP, van Gelder M. Incidence and management of toxicity associated with ibrutinib and idelalisib: a practical approach. Haematologica. 2017 Oct; 102(10):1629–1639. doi: 10.3324/haematol.2017.164103. Epub 2017 Aug 3. Review.

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Zarbo, A., Axelson, A. (2020). Common Cutaneous Side Effects of Anti-cancer Agents. In: Lim, H., Kohen, L., Schneider, S., Yeager, D. (eds) Practical Guide to Dermatology. Springer, Cham. https://doi.org/10.1007/978-3-030-18015-7_14

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