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Management of Dermatological Adverse Events Associated With MEK Inhibitors
C Prat1, Laura Berbegal de Gracia2, J Bernabeu-Wittel3
1Department of Dermatology, Hospital Sant Joan de Déu, Barcelona, Spain.
Abstract:
MEK inhibitors (MEKi) have transformed the treatment of tumors such as melanoma and plexiform neurofibroma in neurofibromatosis type 1, but they are frequently associated with dermatological adverse effects that may affect quality of life and treatment adherence. This expert consensus reviews the evidence and provides practical recommendations for the prevention and management of the most common cutaneous toxicities associated with MEKi, including acneiform rash, eczematous dermatitis, xerosis, paronychia, photosensitivity, hair disorders, pruritus, edema, and mucositis. Most of these reactions are mild or moderate and can be controlled through preventive measures, topical or oral treatment, and patient education. Multidisciplinary collaboration between dermatology and oncology is key for early detection, individualized management, and optimization of clinical outcomes, minimizing treatment interruptions and improving the quality of life of patients receiving these therapies.
Insights
MEK inhibitors (MEKi) manage tumors but cause skin issues. This consensus offers practical advice for preventing and treating these common MEKi dermatologic toxicities to improve patient quality of life.
Area of Science:
- Oncology
- Dermatology
- Pharmacology
Background:
- MEK inhibitors (MEKi) are effective cancer treatments.
- Dermatologic adverse effects are common with MEKi therapy.
- These toxicities can impact quality of life and treatment adherence.
Purpose of the Study:
- To review evidence on MEKi-associated cutaneous toxicities.
- To provide practical recommendations for prevention and management.
- To emphasize multidisciplinary collaboration for optimal patient care.
Main Methods:
- Expert consensus review of existing evidence.
- Identification of common dermatologic toxicities.
- Development of management strategies.
Main Results:
- Common toxicities include acneiform rash, xerosis, paronychia, and mucositis.
- Most reactions are mild to moderate and manageable.
- Preventive measures, topical/oral treatments, and patient education are effective.
Conclusions:
- Effective management of MEKi-induced skin toxicities is achievable.
- Multidisciplinary collaboration between dermatology and oncology is crucial.
- Optimizing treatment outcomes and patient quality of life is possible.
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