Sanmartín Onofre
Department of Dermatology, Instituto Valenciano de Oncologia, Valencia, Spain.
Curr Probl Dermatol. 2018;53:93-104. doi: 10.1159/000479198. Epub 2017 Nov 7.
The management of oncology patients has changed significantly over recent years, with the development of new targeted anticancer therapies. Cutaneous adverse effects are among the most frequently observed toxicities with many targeted agents; their intensity can be dose-limiting or lead to the discontinuation of therapy. Tyrosine kinase inhibitors can cause maculopapular rash and hand-foot reaction, whereas papulopustular rash, paronychia, regulatory changes in hair, and dryness are caused by epidermal growth factor receptor inhibitors. SMO inhibitors, vismodegib and sonidegib, may result in muscle spasms and alopecia.
近年来,随着新型靶向抗癌疗法的发展,肿瘤患者的管理发生了显著变化。皮肤不良反应是许多靶向药物最常观察到的毒性之一;其严重程度可能会限制剂量或导致治疗中断。酪氨酸激酶抑制剂可引起斑丘疹和手足反应,而丘疹脓疱性皮疹、甲沟炎、毛发调节变化和皮肤干燥则由表皮生长因子受体抑制剂引起。SMO抑制剂维莫德吉和索尼德吉可能会导致肌肉痉挛和脱发。