[Cutaneous side effects of anti-tumor therapy with BRAF and MEK inhibitors]

R Gutzmer1, J C Hassel, K C Kähler

  • 1Klinik für Dermatologie, Allergologie und Venerologie, Hauttumorzentrum Hannover (HTZH), Medizinische Hochschule Hannover, Ricklinger Str. 5, 30449, Hannover, Deutschland, gutzmer.ralf@mh-hannover.de.

Abstract

Insights

BRAF and MEK inhibitors are new targeted therapies for malignancies. Close dermatologic monitoring is essential due to frequent and varied skin side effects, including inflammatory reactions and keratinocyte disorders.

Area of Science:

  • Oncology
  • Dermatology
  • Pharmacology

Context:

  • BRAF and MEK inhibitors represent novel targeted therapies for malignancies, particularly malignant melanoma.
  • These targeted therapies are increasingly utilized in cancer treatment regimens.

Purpose:

  • To summarize the most frequent cutaneous side effects associated with BRAF and MEK inhibitor treatment.
  • To provide guidance on the management of these dermatologic adverse events.

Summary:

  • Cutaneous side effects are common with BRAF and MEK inhibitors, encompassing inflammatory reactions (e.g., exanthema, hand-foot syndrome, paronychia) and proliferative disorders.
  • BRAF inhibitors specifically can induce keratinocyte and melanocyte proliferation, leading to conditions like palmoplantar hyperkeratosis, verruciform lesions, and potentially secondary melanomas.
  • Other reported side effects include hair alterations and xerosis.

Impact:

  • Highlights the necessity for vigilant dermatologic monitoring during BRAF and MEK inhibitor therapy.
  • Aims to improve patient management by detailing common skin toxicities and their therapeutic approaches.

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