Related Experiment Video
Updated: Apr 29, 2026

A Standardized Procedure of Dressing Management for Toxic Epidermal Necrolysis
Published on: March 14, 2025
Targeted agents: management of dermatologic toxicities
1Presented by Barbara Burtness, MD, Clinical Research Program Leader of the Head and Neck Cancers Program, Smilow Cancer Hospital at Yale-New Haven, and Co-Director, Developmental Therapeutics Research Program, Yale Cancer Center.
Abstract:
Epidermal growth factor receptor (EGFR) inhibitors are widely used in the treatment of many cancers, and the cutaneous toxicity profile associated with these agents has become prominent. In fact, dermatologic side effects have also been reported with other targeted agents, including both BRAF and mTOR inhibitors. During her presentation at the NCCN 19th Annual Conference, Dr. Barbara Burtness reviewed the array of skin complications caused by many targeted therapies, focusing on the more common culprits, the role of prophylactic versus reactive management strategies, the need to be attentive to potential infections, the importance of mastering local measures to improve quality of life and cosmetic issues, the therapeutic mainstays (oral and topical antibiotics and topical steroids), and the preference of improving these cutaneous complications over suspending anticancer treatment.
Insights
Targeted cancer therapies like epidermal growth factor receptor (EGFR) inhibitors can cause prominent skin side effects. Management focuses on improving these cutaneous complications to maintain anticancer treatment.
Area of Science:
- Oncology
- Dermatology
- Pharmacology
Background:
- Targeted cancer therapies, including epidermal growth factor receptor (EGFR) inhibitors, BRAF, and mTOR inhibitors, are associated with significant cutaneous toxicity.
- Dermatologic side effects are a common and prominent concern in patients undergoing treatment with these agents.
Discussion:
- Dr. Barbara Burtness highlighted common skin complications from targeted therapies at the NCCN 19th Annual Conference.
- Strategies for managing skin toxicities include prophylactic and reactive approaches, emphasizing local measures for quality of life.
- Key interventions involve topical and oral antibiotics and topical steroids to address infections and cosmetic issues.
Key Insights:
- Cutaneous toxicities from targeted therapies require proactive and reactive management strategies.
- Improving skin complications is crucial for patient quality of life and adherence to cancer treatment.
- Early intervention with antibiotics and steroids can effectively manage common dermatologic side effects.
Outlook:
- Further research into optimizing the management of therapy-induced skin conditions is warranted.
- Developing standardized protocols for managing cutaneous side effects can improve patient outcomes.
- Continued focus on supportive care is essential to minimize treatment interruptions due to skin toxicity.
Related Concept Videos
Drug Toxicity: Allergic Reactions
Targeted Cancer Therapies
There are several types of targeted therapies against...
Targeted Cancer Therapies
Modified-Release Drug Delivery Systems: Site-Targeted
Pharmaceutical Poisoning: Treatment Strategies
Drug Toxicity: Dose-Dependent Reactions

