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Adverse dermatologic effects of erdafitinib in a patient with metastatic urothelial carcinoma
Megan Johnson1, Marie Clark2, Carli Whittington2,3
1Indiana University School of Medicine, Indianapolis, IN, USA.
Abstract:
Erdafitinib is a fibroblast growth factor receptor 1-4 inhibitor used for locally advanced or metastatic urothelial carcinoma in patients who have experienced disease progression after at least 1 prior systemic therapy. Various cutaneous side effects of erdafitinib have been reported, most commonly stomatitis and nail changes such as onycholysis, nail dystrophy, and paronychia. However, onychomadesis is a rarer nail toxicity that can cause significant discomfort and may necessitate treatment interruption. We present the case of a 61-year-old White man with metastatic urothelial carcinoma treated with 8 mg of erdafitinib daily who developed diffuse onychomadesis within a few months of initiating therapy. Awareness of the potential cutaneous side effects of erdafitinib and timely referral for specialty dermatologic care are important to allow treatment continuation.
Insights
Erdafitinib, a FGFR inhibitor, can cause rare nail toxicity called onychomadesis in urothelial carcinoma patients. Early dermatologic care is crucial for managing this side effect and continuing treatment.
Area of Science:
- Oncology
- Dermatology
- Pharmacology
Background:
- Erdafitinib is a targeted therapy for advanced urothelial carcinoma.
- Cutaneous side effects are common, with nail changes frequently reported.
- Onychomadesis is a less common but potentially disruptive nail toxicity associated with erdafitinib.
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