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Published on: August 11, 2017
Cutaneous side-effects of EGFR inhibitors and their management
L M Ehmann1, T Ruzicka, A Wollenberg
1Department of Dermatology and Allergology, Ludwig-Maximilian-University of Munich, Munich, Germany.
Abstract:
Epidermal growth factor receptor (EGFR) inhibitors are an increasingly important treatment option for metastasized cancer in patients. In addition to the pivotal role of EGFR in the development and progression of malignant tumors, EGFR is also important for proliferation and differentiation of the human epidermis and hair follicles. As a consequence, cutaneous side-effects are frequently observed during cancer therapy with EGFR inhibitors. During the first few weeks of treatment, acneiform eruptions are the earliest common side-effect. Xerosis and fissures are complications appearing in later treatment phases. Paronychia and alterations in hair growth are less common and generally seen after a longer period of treatment. We present an overview of the various cutaneous side-effects associated with EGFR inhibition and discuss their respective therapeutic options.
Insights
Epidermal growth factor receptor (EGFR) inhibitors treat cancer but cause skin side effects like acne, dryness, and nail issues. This overview details these common cutaneous side effects and their treatments.
Area of Science:
- Oncology
- Dermatology
- Pharmacology
Background:
- Epidermal growth factor receptor (EGFR) inhibitors are vital in treating metastatic cancers.
- EGFR plays a crucial role in tumor development and progression.
- EGFR is also essential for normal skin and hair follicle function.
Purpose of the Study:
- To provide a comprehensive overview of cutaneous side effects associated with EGFR inhibitor therapy.
- To discuss the therapeutic strategies for managing these dermatological adverse events.
Main Methods:
- Literature review of studies on EGFR inhibitors and their side effects.
- Analysis of the incidence and timing of various skin reactions.
- Summary of current treatment options for EGFR inhibitor-induced dermatopathies.
Main Results:
- Acneiform eruptions are the most frequent early side effect.
- Xerosis and fissures commonly appear in later treatment stages.
- Paronychia and hair growth alterations are less common, typically observed after prolonged treatment.
Conclusions:
- Cutaneous side effects are a common and significant issue during EGFR inhibitor therapy.
- Understanding the spectrum of these side effects is crucial for patient management.
- Appropriate therapeutic interventions can help mitigate these adverse events, improving patient compliance and outcomes.
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