Clinical presentation and management of dermatological toxicities of epidermal growth factor receptor inhibitors Journal Article


Authors: Balagula, Y.; Garbe, C.; Myskowski, P. L.; Hauschild, A.; Rapoport, B. L.; Boers-Doets, C. B.; Lacouture, M. E.
Article Title: Clinical presentation and management of dermatological toxicities of epidermal growth factor receptor inhibitors
Abstract: The last decade in oncology has been highlighted by the emergence of novel, highly specific anti-cancer agents, targeting a variety of molecular structures and able to inhibit aberrantly activated oncogenic pathways. Epidermal growth factor receptor inhibitors (EGFRIs) represent one type of such "targeted" agents. Their use made treatment more tolerable and resulted in significant reduction of systemic adverse effects. However, EGFRIs are associated with toxicities affecting the skin and adnexal structures, and mucosal surfaces that affect the majority of treated patients. Significant dermatologic toxicities have changed the role and involvement of dermatologists in their care. It is essential to be familiar with these adverse effects, potential complications, long-term sequelae, and available effective treatment strategies in order to appropriately manage these patients. This review will describe the clinical presentation, histopathology, underlying mechanisms, and management options, emphasizing evidence-based approaches. © 2011 The International Society of Dermatology.
Keywords: review; squamous cell carcinoma; erlotinib; capecitabine; gemcitabine; pancreas cancer; metastasis; breast cancer; lung non small cell cancer; mucosa inflammation; stomatitis; cetuximab; cancer therapy; risk factor; irinotecan; panitumumab; colorectal carcinoma; nail disease; pruritus; rash; drug mechanism; gefitinib; skin disease; telangiectasia; letrozole; alopecia; lapatinib; head and neck carcinoma; epidermal growth factor receptor kinase inhibitor; paronychia; xerosis; hypertrichosis; trichiasis
Journal Title: International Journal of Dermatology
Volume: 50
Issue: 2
ISSN: 0011-9059
Publisher: Wiley Blackwell  
Date Published: 2011-02-01
Start Page: 129
End Page: 146
Language: English
DOI: 10.1111/j.1365-4632.2010.04791.x
PROVIDER: scopus
PUBMED: 21244375
DOI/URL:
Notes: --- - "Export Date: 4 March 2011" - "CODEN: IJDEB" - "Source: Scopus"
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  1. Mario E Lacouture
    457 Lacouture
  2. Patricia Myskowski
    216 Myskowski