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Published on: July 11, 2013
[Prevention and treatment of mucocutaneous adverse reactions associated with epidermal growth factor receptor
1Department of Dermatology, the Second Xiangya Hospital of Central South University, Institute of Dermatology and Venereology of Central South University, Hunan Clinical Medicine Research Center for Major Skin Diseases and Skin Health, Changsha 410011, China.
Abstract:
The epidermal growth factor receptor (EGFR) signaling is aberrantly overexpressed in many solid malignancies, making it an important target for anti-cancer biologic agents. Among them, epidermal growth factor receptor inhibitors (EGFRIs), which have been widely used in clinical practice, include anti-EGFR monoclonal antibodies and tyrosine kinase inhibitors. A proportion of patients treated with EGFRIs develop specific, dose-dependent skin toxicity such as papulopustular rash, paronychia, xerosis and itch. These side effects can cause physical and psychosocial discomfort that may result in dose reduction, discontinuance, or replacement of the current EGFRIs treatment. Correct diagnosis and treatment of these skin and mucosal adverse effects associated with EGFRIs is of great significance for the tertiary prevention of malignant tumors. A review on EGFRI-related mucocutaneous adverse reactions is presented here, focusing on the pathogenesis, the various clinical manifestations, the strategies for prevention and treatment of these conditions.
Insights
Epidermal growth factor receptor inhibitors (EGFRIs) can cause skin toxicity in cancer patients. This review covers EGFRI-related skin and mucosal adverse reactions, focusing on their causes, symptoms, and management.
Area of Science:
- Oncology
- Dermatology
- Pharmacology
Background:
- Aberrant epidermal growth factor receptor (EGFR) signaling is common in solid tumors.
- EGFR inhibitors (EGFRIs) are crucial anti-cancer biologic agents.
- EGFRIs include monoclonal antibodies and tyrosine kinase inhibitors targeting EGFR.
Purpose of the Study:
- To review EGFRI-related mucocutaneous adverse reactions.
- To focus on pathogenesis, clinical manifestations, and management strategies.
- To highlight the significance of managing these toxicities for cancer treatment outcomes.
Main Methods:
- Literature review of EGFRI-related mucocutaneous adverse reactions.
- Analysis of pathogenesis and clinical presentations.
- Synthesis of prevention and treatment strategies.
Main Results:
- EGFRIs can cause dose-dependent skin toxicities like rash, paronychia, xerosis, and itch.
- These adverse effects impact patient well-being and treatment adherence.
- Effective management is crucial for optimizing cancer therapy.
Conclusions:
- Understanding EGFRI-induced mucocutaneous reactions is vital.
- Prompt diagnosis and appropriate treatment improve patient care.
- Managing side effects supports continued anti-cancer therapy.
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