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The Goeckerman Regimen for the Treatment of Moderate to Severe Psoriasis
Published on: July 11, 2013
[Treatment of acneiform rash by epidermal growth factor inhibitors with oral tetracyclines]
Montse Fernández-Guarino1, Bibiana Pérez García, Isabel Aldanondo Fernández de la Mora
1Servicio de Dermatología, Hospital Ramón y Cajal, Madrid, España. montsefdez@msn.com
Introduction:
Epidermal growth factor inhibitors (EGFR) are new antineoplastic agents that are increasingly being developed. They are basically used as second line treatment in advanced stage tumors. Appearance of a facial acneiform rash in patients treated with these drugs is common and characteristic. The literature proposes multiple topical and systemic treatment options. Up to now, there is no clear evidence on any of them.
Patients And Methods:
A descriptive study of 6 patients who were treated with 100 mg daily dose of doxycycline for 3 weeks was conducted. Clinical characteristics of the patients and treatment efficacy were analyzed.
Results:
Five of the six patients achieved total resolution of the acneiform rash with this treatment. One patient achieved partial response. After long follow-up periods and in spite of following treatment with the EGFR inhibitors, no relapse was observed.
Conclusions:
Doxycycline is suggested as an effective treatment in this disease. Even though it is a short series, the results in our patients support this efficacy.
Insights
Doxycycline effectively treated acneiform rash caused by epidermal growth factor receptor (EGFR) inhibitors in a small study. Most patients experienced complete rash resolution with no relapses, suggesting doxycycline as a promising treatment option.
Area of Science:
- Oncology
- Dermatology
- Pharmacology
Background:
- Epidermal growth factor receptor (EGFR) inhibitors are novel antineoplastic agents.
- Acneiform rash is a common side effect of EGFR inhibitor therapy, often requiring treatment.
- Current treatment options lack definitive evidence of efficacy.
Purpose of the Study:
- To evaluate the efficacy of doxycycline in treating EGFR inhibitor-induced acneiform rash.
- To assess the resolution and recurrence rates of the rash under doxycycline treatment.
Main Methods:
- A descriptive study involving 6 patients treated with doxycycline 100 mg daily for 3 weeks.
- Analysis of patient clinical characteristics and treatment outcomes.
- Long-term follow-up to monitor for rash relapse.
Main Results:
- Five out of six patients achieved complete resolution of the acneiform rash.
- One patient showed a partial response to doxycycline treatment.
- No relapses were observed during extended follow-up periods, even with continued EGFR inhibitor therapy.
Conclusions:
- Doxycycline demonstrates significant efficacy in managing EGFR inhibitor-induced acneiform rash.
- The findings support doxycycline as an effective treatment option for this condition.
- Further research may validate these promising results in larger cohorts.
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