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Updated: Jun 25, 2026

A Standardized Procedure of Dressing Management for Toxic Epidermal Necrolysis
Published on: March 14, 2025
[Management of cutaneous toxicities induced by epidermal growth factor receptor inhibitors: a review]
K Mestdagh1, W Fink, A Hendlisz
1Service de Dermatologie, Hôpital Erasme. kmestdag@ulb.ac.be
Abstract:
The epidermal growth factor receptor (EGFR) is overexpressed in many solid tumors. Its inactivation has an inhibitory effect on the growth and spread of the tumoral cells. It therefore represents an attractive target to treat different cancers. Several molecules have already been registered while others are still under evaluation. One of the common side effects of these therapies is the development of cutaneous toxicities, more precisely a cutaneous rash, sometimes major and distressing. The physiopathology of these cutaneous side effects is poorly understood. Moreover a correlation between the severity of the rash and the tumoral response has been demonstrated in some studies. If this link is confirmed, the rash could be used as a marker for the anti-tumoral activity. This review will summarize the clinical presentations and the current recommendations for the management of cutaneous toxicities induced by EGFR inhibitors.
Insights
Epidermal growth factor receptor (EGFR) inhibitors treat cancers but cause skin rash. This review explores rash management and its potential as a marker for anti-tumoral activity.
Area of Science:
- Oncology
- Dermatology
- Pharmacology
Background:
- Epidermal growth factor receptor (EGFR) is a key target in many solid tumors.
- EGFR inhibitors show promise in cancer treatment but frequently cause cutaneous toxicities, such as severe rash.
- The exact mechanisms behind these skin side effects are not fully understood.
Purpose of the Study:
- To review the clinical presentations of cutaneous toxicities induced by EGFR inhibitors.
- To summarize current management strategies for these side effects.
- To explore the potential of rash severity as a predictive marker for anti-tumoral response.
Main Methods:
- Literature review of clinical studies on EGFR inhibitors and their dermatological side effects.
- Analysis of reported correlations between rash severity and treatment efficacy.
- Synthesis of current clinical guidelines for managing EGFR inhibitor-induced rash.
Main Results:
- Cutaneous rash is a common and often distressing side effect of EGFR inhibitor therapy.
- Some studies suggest a correlation between rash severity and positive tumoral response.
- Effective management strategies exist to mitigate the impact of these toxicities.
Conclusions:
- EGFR inhibitors are vital cancer therapeutics, but managing their associated skin toxicities is crucial.
- Further research is needed to confirm the rash as a reliable biomarker for treatment efficacy.
- Optimizing management of cutaneous toxicities can improve patient adherence and outcomes.
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