Damsin Th, Collignon J, Lebas E, Libon F, Dezfoulian B, Nikkels A F
Service de Dermatologie, CHU Sart Tilman, Liège, Belgique.
Service d'Oncologie Médicale, CHU Sart Tilman, Liège, Belgique.
Rev Med Liege. 2019 Jan;74(1):7-14.
The spectrum of the mucocutaneous adverse effects of directed oncologic therapies, such as anti-EGFR, anti-VEGF, anti-TK and anti-BRAF, presents similarities but also differences compared to that of the classic chemotherapeutics. This article reviews the dermatological toxicities of the targeted therapies, with 11 clinical cases, including mucositis and oral toxicities, the acne-like eruptions, nail changes and complications, the «hand/foot» syndrome, radiosensitization, alopecias, xerosis and skin fissures. After a brief clinical case presentation and theoretical issues, the clinical management is discussed in detail.
与传统化疗药物相比,抗表皮生长因子受体(EGFR)、抗血管内皮生长因子(VEGF)、抗酪氨酸激酶(TK)和抗BRAF等定向肿瘤治疗的皮肤黏膜不良反应谱既有相似之处,也有不同之处。本文通过11个临床病例回顾了靶向治疗的皮肤毒性,包括黏膜炎和口腔毒性、痤疮样皮疹、指甲变化及并发症、“手足”综合征、放射增敏、脱发、皮肤干燥和皮肤皲裂。在简要介绍临床病例和理论问题后,详细讨论了临床管理。