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Rhinitis and epistaxis in patients treated by anti-angiogenic therapy
V Prulière-Escabasse1, E Escudier, R Balheda
1Service d'ORL et de Chirurgie Cervico-Faciale, Hôpitaux H. Mondor (Assistance Publique Hôpitaux de Paris) et Centre Hospitalier Intercommunal de Créteil, Paris, France.
Abstract:
Anti-angiogenic therapies have a particular drug-related toxicity profile including hypertension, thrombosis, haemorrhages, and proteinuria. Moreover, patients treated by angiogenesis inhibitors present nasal symptoms including symptomatic rhinitis and epistaxis. For the first time, a new entity of "atrophic rhinitis" induced by angiogenesis inhibitors is described and revealed that angiogenesis inhibitors alter the differentiation of nasal epithelium. VEGF may act on epithelial cell proliferation and differentiation in nasal epithelium.
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