Related Experiment Video
Updated: Jun 2, 2026

The Goeckerman Regimen for the Treatment of Moderate to Severe Psoriasis
Published on: July 11, 2013
Prophylaxis and treatment of dermatologic adverse events from epidermal growth factor receptor inhibitors
Peggy A Wu1, Yevgeniy Balagula, Mario E Lacouture
1Department of Dermatology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA.
Purpose Of Review:
As the number and uses for targeted therapies such as epidermal growth factor receptor inhibitors (EGFRIs) increase, so does the need to recognize and treat the dermatologic side-effects of these agents. Although agents such as gefitinib, erlotinib, cetuximab, lapatinib, and panitumumab have less systemic side-effects than traditional cytotoxic chemotherapy, dermatologic adverse events from EGFRIs are significantly more common. These dermatologic toxicities have previously led to reduction or cessation of therapy and recently have been shown to decrease patients' quality of life.
Recent Findings:
This review provides a symptom-based treatment approach to the common dermatologic adverse effects seen with the epidermal growth factor receptor antagonists: papulopustular rash, xerosis, pruritus as well as hair, nail, and mucosal changes. Each dermatologic toxicity is described; prophylaxis and treatment options, from topical to systemic, are presented based on a review of the current literature with emphasis on new clinical trials results. We also provide specific recommendations based on our practice in a specialty clinic.
Summary:
Although the field continues to evolve, this review presents the most up-to-date information on managing dermatologic adverse effects of EGFRIs. Practitioners should find this article to be a practical resource in approaching patients on EGFRIs with dermatologic toxicities. As we learn how to optimally manage the adverse effects of these agents, we practitioners have the opportunity to increase patients' quality of life and decrease reductions or cessations of life-prolonging therapy.
Insights
Dermatologic side effects from epidermal growth factor receptor inhibitors (EGFRIs) are common and impact quality of life. This review offers a symptom-based approach to managing these toxicities, improving patient outcomes.
Area of Science:
- Oncology
- Dermatology
- Pharmacology
Background:
- Targeted therapies, including epidermal growth factor receptor inhibitors (EGFRIs), are increasingly used in cancer treatment.
- While EGFRIs have fewer systemic side effects than traditional chemotherapy, dermatologic adverse events are significantly more common.
- These skin toxicities can lead to reduced treatment adherence and decreased patient quality of life.
Purpose of the Study:
- To provide a comprehensive, symptom-based treatment approach for managing dermatologic side effects associated with EGFRIs.
- To review current literature and clinical trial results on prophylaxis and treatment options for EGFRIs-induced skin toxicities.
- To offer practical recommendations for clinicians managing patients on EGFRIs.
Main Methods:
- Literature review focusing on common dermatologic adverse effects of EGFRIs.
- Analysis of prophylaxis and treatment strategies, including topical and systemic options.
- Inclusion of new clinical trial data and expert clinical practice recommendations.
Main Results:
- Common EGFRIs dermatologic toxicities include papulopustular rash, xerosis, pruritus, and hair, nail, and mucosal changes.
- Prophylaxis and treatment options are presented for each toxicity, ranging from topical to systemic therapies.
- Emphasis is placed on recent clinical trial findings and practical management strategies.
Conclusions:
- Effective management of EGFRIs-induced dermatologic toxicities is crucial for maintaining patient quality of life.
- This review serves as a practical resource for healthcare providers managing these adverse events.
- Optimizing the management of skin toxicities can improve treatment adherence and patient outcomes.
Related Concept Videos
Clinical Applications of Epidermal Stem Cells
Mitogens and the Cell Cycle
Treatment for Pulmonary Arterial Hypertension: Receptor Tyrosine Kinase Inhibitors and Calcium Channel Blockers
TKIs, such as imatinib (Gleevec), are particularly effective in tackling the growth and mitogenic factors that become upregulated in PAH patients. These factors contribute to the...
Renewal of Skin Epidermal Stem Cells
Pharmacogenetics of Drug Targets: β₂-Adrenergic Receptors, Apo E, Thymidylate Synthase
Treatment for Pulmonary Arterial Hypertension: Prostacyclin Receptor Agonists
These agonists bind to the IPR receptor situated on the plasma membrane of the pulmonary artery smooth muscle cells. This binding triggers a cascade of reactions known as the GS-AC-cAMP-PKA pathway. This pathway results in the relaxation of smooth muscle...