[系统性抗癌疗法的皮肤不良反应:手脚综合征和指甲变化]
Selma Ugurel1, Claudia Pföhler2, Ralf Gutzmer3
1Klinik für Dermatologie, Venerologie und Allergologie, Universitätsklinikum Essen, 45122, Essen, Deutschland.
Dermatologie (Heidelberg, Germany)
|May 27, 2024
概括
手脚综合症 (HFS) 和指甲变化是癌症治疗的常见副作用. 本综述详细介绍了它们的原因,预防策略和与化疗相关的和与激酶抑制剂相关的HFS的管理.
科学领域:
- 在瘤学瘤学.
- 皮肤病学 皮肤病学
- 药理学 药理学是指药理学的学科.
背景情况:
- 手脚综合征 (HFS) 和指甲变化是与抗癌疗法相关的常见不良事件.
- 这些情况在瘤治疗期间显著影响患者的生活质量.
- 了解这些机制和管理对于支持性癌症护理至关重要.
研究的目的:
- 审查与医疗瘤治疗相关的手脚综合征 (HFS) 和指甲疾病的现有证据.
- 提供对HFS和指甲疾病病理生理学的见解.
- 为预防和治疗这些不良事件提供建议.
主要方法:
- 该审查基于德国S3指南"瘤患者的支持性治疗".
- 此外,还考虑了自指南完成以来出版的文献.
- 分析的重点是关于癌症患者的HFS和指甲变化的证据.
主要成果:
- 存在两种HFS变体:与化疗相关的 (红斑,水泡,) 和与激酶抑制剂相关的 (状加厚).
- 建议的机制包括通过汗腺分泌有毒物质,用于化疗-HFS和血管问题,用于激酶抑制剂-HFS.
- 预防包括避免压力,清洁,特定的药膏和输液期间的冷却;治疗涉及剂量修改.
结论:
- 该研究提供了从全身瘤治疗中了解HFS和指甲疾病的病理生理学.
- 提出了预防和治疗的建议.
- 有效的管理策略对于接受癌症治疗的患者至关重要.
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