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西妥昔单抗(爱必妥)诱发的重度痤疮样皮疹。

Severe acneiform eruption induced by cetuximab (Erbitux).

作者信息

Lee Jung Eun, Lee Sang Ju, Lee Hee Jung, Lee Ju Hee, Lee Kwang Hoon

机构信息

Yonsei Star Skin & Laser Clinic, Yonsei University College of Medicine, Seoul, Korea.

出版信息

Yonsei Med J. 2008 Oct 31;49(5):851-2. doi: 10.3349/ymj.2008.49.5.851.

DOI:10.3349/ymj.2008.49.5.851
PMID:18972607
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2615378/
Abstract

Epidermal growth factor has an important role in the regulation of proliferation and differentiation in epidermal keratinocytes, as well as in the survival, angiogenesis and metastasis of cancer cells. Cetuximab is a chimeric monoclonal antibody selective for the epidermal growth factor receptor that induces a broad range of cellular responses that enhance tumor sensitivity to radiotherapy and chemotherapeutic agents. However, it can cause adverse events in the patient including acneiform eruption, asthenia, abdominal pain and nausea/vomiting. We report a case of severe acneiform eruption induced by cetuximab in a 56-year-old man with colorectal cancer and liver metastases.

摘要

表皮生长因子在调节表皮角质形成细胞的增殖和分化以及癌细胞的存活、血管生成和转移中发挥着重要作用。西妥昔单抗是一种对表皮生长因子受体具有选择性的嵌合单克隆抗体,可诱导多种细胞反应,增强肿瘤对放疗和化疗药物的敏感性。然而,它会导致患者出现不良事件,包括痤疮样皮疹、乏力、腹痛和恶心/呕吐。我们报告了一例56岁患有结直肠癌和肝转移的男性患者因西妥昔单抗诱发严重痤疮样皮疹的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/985b/2615378/6b31c8ccd880/ymj-49-851-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/985b/2615378/fd50067e6060/ymj-49-851-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/985b/2615378/6b31c8ccd880/ymj-49-851-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/985b/2615378/fd50067e6060/ymj-49-851-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/985b/2615378/6b31c8ccd880/ymj-49-851-g002.jpg

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本文引用的文献

1
Cetuximab-induced acne.西妥昔单抗诱发的痤疮。
Dermatology. 2005;211(4):330-3. doi: 10.1159/000088502.
2
The management of skin reactions in cancer patients receiving epidermal growth factor receptor targeted therapies.接受表皮生长因子受体靶向治疗的癌症患者皮肤反应的管理。
J Dtsch Dermatol Ges. 2005 Aug;3(8):599-606. doi: 10.1111/j.1610-0387.2005.05058.x.
3
Clinical signs, pathophysiology and management of skin toxicity during therapy with epidermal growth factor receptor inhibitors.表皮生长因子受体抑制剂治疗期间皮肤毒性的临床体征、病理生理学及管理
表皮生长因子受体抑制剂引起的滤泡炎,四环素在管理中的预防和治疗效果,以及根据所使用的表皮生长因子受体抑制剂的类型的发生率:系统文献回顾。
Oncologist. 2012;17(4):555-68. doi: 10.1634/theoncologist.2011-0365. Epub 2012 Mar 16.
Ann Oncol. 2005 Sep;16(9):1425-33. doi: 10.1093/annonc/mdi279. Epub 2005 Jul 12.
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Acneiform eruption induced by epidermal growth factor receptor inhibitors in patients with solid tumours.
Br J Dermatol. 2004 Jul;151(1):238-41. doi: 10.1111/j.1365-2133.2004.06026.x.
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Cetuximab: in the treatment of metastatic colorectal cancer.西妥昔单抗:用于治疗转移性结直肠癌。
Drugs. 2004;64(1):109-18; discussion 119-121. doi: 10.2165/00003495-200464010-00007.
6
Complications of therapy and a diagnostic dilemma case. Case 2. Cutaneous toxicity induced by cetuximab.治疗并发症及诊断难题病例。病例2. 西妥昔单抗诱导的皮肤毒性。
J Clin Oncol. 2003 Dec 15;21(24):4651-3. doi: 10.1200/JCO.2003.04.169.
7
Follicular toxic effects of chimeric anti-epidermal growth factor receptor antibody cetuximab used to treat human solid tumors.
Arch Dermatol. 2002 Jan;138(1):129-31. doi: 10.1001/archderm.138.1.129.