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Published on: August 11, 2017
[Therapy with epidermal growth factor receptor inhibitors. Clinical spectrum of cutaneous adverse effects]
P A Gerber1, B A Buhren, S Kürle
1Hautklinik, Universitätsklinikum Düsseldorf, Moorenstr. 5, 40225, Düsseldorf, Deutschland.
Abstract:
Recently, inhibitors of the epidermal growth factor receptor (EGFR), such as erlotinib, gefitinib, cetuximab or panitumumab, have been successfully established in the therapy of a variety of solid tumors. Cutaneous adverse effects are the most frequent side-effects of these so-called targeted cancer drugs and occur in 45-100% of patients. In addition to a characteristic papulo-pustular rash, adverse effects include painful paronychia, xerosis cutis, pruritus, alopecia or alterations of the hair structure. These often stigmatizing side-effects represent a serious threat to the patients' quality of life and compliance and may lead to dose-reduction or even cessation of the antineoplastic therapy. Considering the steadily growing numbers of patients who receive EGFR-targeting therapy, these medicament-associated cutaneous adverse effects are becoming increasingly more important in the routine clinical practice of dermatologists and oncologists.
Insights
Epidermal growth factor receptor (EGFR) inhibitors are effective cancer treatments but frequently cause significant skin side effects. Managing these cutaneous adverse events is crucial for patient quality of life and treatment adherence.
Area of Science:
- Oncology
- Dermatology
- Pharmacology
Background:
- Epidermal growth factor receptor (EGFR) inhibitors are widely used in treating various solid tumors.
- Cutaneous adverse effects are common, affecting 45-100% of patients receiving these targeted therapies.
Purpose of the Study:
- To highlight the significance of drug-induced skin toxicities in patients undergoing EGFR-targeted therapy.
- To emphasize the impact of these side effects on patient quality of life and treatment compliance.
Main Methods:
- Review of literature on EGFR inhibitor-associated dermatologic toxicities.
- Analysis of common cutaneous side effects and their clinical presentation.
Main Results:
- Frequent side effects include papulo-pustular rash, paronychia, xerosis cutis, pruritus, and alopecia.
- These adverse effects can be severe, impacting patient well-being and potentially leading to treatment discontinuation.
Conclusions:
- Drug-induced cutaneous adverse effects are a major clinical challenge in EGFR-targeted cancer therapy.
- Effective management strategies are essential for maintaining patient quality of life and optimizing oncologic treatment outcomes.
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