Hello M, Barbarot S, Connault J
Service de médecine interne, CHU Hôtel-Dieu, Nantes, France.
Rev Med Interne. 2012 May;33(5):273-8. doi: 10.1016/j.revmed.2012.01.013. Epub 2012 Mar 3.
Many cutaneous adverse events have been identified with recently developed targeted treatments. Some of them are common and specific, like paradoxical psoriasiform eruptions with anti-TNFα, papulopustular eruptions and paronychias with EGFR inhibitors and peculiar hand-foot skin reactions with multitargeted kinase inhibitors sorefenib and sunitinib. Patients treated with these recently available biologics need a careful monitoring.
许多皮肤不良事件已在近期研发的靶向治疗中被发现。其中一些是常见且具有特异性的,例如使用抗TNFα药物时出现的矛盾性银屑病样皮疹、使用表皮生长因子受体(EGFR)抑制剂时出现的丘疹脓疱性皮疹和甲沟炎,以及使用多靶点激酶抑制剂索拉非尼和舒尼替尼时出现的特殊手足皮肤反应。接受这些近期可用生物制剂治疗的患者需要仔细监测。