Makdsi Fadi, Deversa Roger
Department of Medicine, University of Tennessee, College of Medicine Chattanooga USA.
Cases J. 2009 Jul 2;2:6946. doi: 10.4076/1757-1626-2-6946.
Carboplatin and docetaxel are chemotherapy agents that are used to treat some malignancies. This combination has not been documented to date to cause an inflammation of a preexisting actinic keratosis. One previous report has described inflammation of AK lesions after the use of docetaxel alone.
We report a case of a 54-year-old male with a history of untreated actinic keratosis and lung cancer. He developed a rash on the sun exposed areas of skin after he received carboplatin and docetaxel. Topical high-potency corticosteroid administration resulted in diminished rash despite the ongoing chemotherapy regimen.
We present this case to emphasis this potential reaction in predisposed individuals after using the combination of carboplatin and docetaxel, and to help physicians making the appropriate decision whether to continue the chemotherapy or discontinued it.
卡铂和多西他赛是用于治疗某些恶性肿瘤的化疗药物。迄今为止,尚未有文献记载这种联合用药会导致先前存在的光化性角化病发生炎症。之前有一份报告描述了单独使用多西他赛后光化性角化病皮损出现炎症的情况。
我们报告一例54岁男性,有未治疗的光化性角化病和肺癌病史。他在接受卡铂和多西他赛治疗后,在阳光暴露的皮肤区域出现皮疹。尽管正在进行化疗方案,但局部使用高效皮质类固醇使皮疹减轻。
我们呈现此病例是为了强调在使用卡铂和多西他赛联合治疗后,易感个体可能出现这种反应,并帮助医生做出是否继续化疗的适当决定。