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The Goeckerman Regimen for the Treatment of Moderate to Severe Psoriasis
Published on: July 11, 2013
Non-rash dermatologic adverse events related to targeted therapies
Objectives:
To provide background information and management strategies for non-rash dermatological adverse events.
Data Sources:
Peer-reviewed journal articles, professional manuals, online sources.
Conclusion:
During the last decade, many dermatological adverse events of targeted therapy have been reported, including xerosis, skin fissures, pruritus, photosensitivity, pigmentation changes, hair and nail changes, hand-foot skin reaction, squamoproliferative lesions, Stevens-Johnsons syndrome, and toxic epidermal necrolysis. Although evidenced-based treatment options are scarce, many recommendations have been described in the literature that should be considered to apply in daily practice.
Implications For Nursing Practice:
Nursing practice will be enhanced by education, assessment, and management recommendations.
Insights
This review covers non-rash skin side effects from targeted therapies, offering management strategies for xerosis, pruritus, and other conditions. Evidence-based options are limited, but practical recommendations exist for clinical use.
Area of Science:
- Dermatology
- Oncology
- Pharmacology
Background:
- Targeted therapies have increased, leading to various dermatological adverse events.
- Non-rash events like xerosis, pruritus, and hand-foot skin reaction are common.
- These events can significantly impact patient quality of life.
Purpose of the Study:
- To synthesize background information on non-rash dermatological adverse events.
- To outline management strategies for these side effects.
- To provide guidance for clinical practice and nursing.
Main Methods:
- Literature review of peer-reviewed journal articles.
- Consultation of professional manuals and online resources.
- Synthesis of reported adverse events and management recommendations.
Main Results:
- Numerous dermatological adverse events associated with targeted therapy are reported.
- Common events include xerosis, skin fissures, pruritus, photosensitivity, and hair/nail changes.
- Severe events like Stevens-Johnson syndrome and toxic epidermal necrolysis also occur.
Conclusions:
- Evidence-based treatment options for these adverse events are limited.
- Numerous practical recommendations are available in the literature.
- Education, assessment, and management are crucial for enhancing nursing practice and patient care.
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