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Updated: Oct 4, 2025

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Nerve Excitability Assessment in Chemotherapy-induced Neurotoxicity
Published on: April 26, 2012
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Digital ischaemia and necrosis from oxaliplatin
Charity Huang1,2, Leslie Storey3, Uzair Chaudhary4,2
1Hematology Oncology, University of California San Francisco-Fresno, Fresno, California, USA Charity.Huang@UCSF.edu.
BMJ Case Reports
|February 8, 2022
Summary
Oxaliplatin, a chemotherapy drug, can rarely cause digital ischemia and necrosis, a serious side effect. This case report details a patient experiencing this rare complication, highlighting the need for vigilance.
Area of Science:
- Oncology
- Vascular Medicine
Background:
- Oxaliplatin is a platinum-based chemotherapy agent widely used for colorectal and pancreatic cancers.
- Common side effects include neurotoxicity, nausea, vomiting, diarrhea, hepatotoxicity, and myelosuppression.
Observation:
- This case report describes a rare instance of oxaliplatin-induced digital ischemia and necrosis.
- Digital ischemia is generally a rare vascular disorder, often linked to autoimmune conditions.
Findings:
- Oxaliplatin administration led to digital ischemia and necrosis in the observed patient.
- This represents a rare but severe adverse event associated with oxaliplatin therapy.
Implications:
- Highlights a rare but critical side effect of oxaliplatin, necessitating increased clinical awareness.
- Suggests the importance of monitoring for vascular complications in patients receiving oxaliplatin.
- Contributes to the understanding of iatrogenic vascular disorders in cancer patients.
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