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表皮生长因子受体抑制剂:痤疮样皮疹和其他黏膜及皮肤不良事件的临床方面、风险因素和生物标志物。

EGFR inhibitors: clinical aspects, risk factors and biomarkers for acneiform eruptions and other mucosal and cutaneous adverse effects.

机构信息

Postgraduate program in Pathology, Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, RS, Brazil; Dermatology Service, Irmandade Santa Casa de Misericórdia de Porto Alegre, Porto Alegre, RS, Brazil.

Dermatology Service, Irmandade Santa Casa de Misericórdia de Porto Alegre, Porto Alegre, RS, Brazil.

出版信息

An Bras Dermatol. 2023 Jul-Aug;98(4):429-439. doi: 10.1016/j.abd.2022.10.004. Epub 2023 Mar 27.

Abstract

The frequency of the use of drugs that act on the epidermal growth factor receptor (EGFR) is increasing, with the consequent onset of cutaneous toxicity, specifically acneiform eruption. The authors extensively review the topic, focusing on describing how these drugs can affect the skin and its appendages, that is, the pathophysiology that encompasses the cutaneous toxicity related to the use of EGFR inhibitors. In addition, it was possible to list the risk factors that may be associated with adverse effects of these drugs. Based on this recent knowledge, the authors expect to aid in the management of patients who are more vulnerable to toxicity, reduce morbidities, and improve the quality of life of patients undergoing treatment with EGFR inhibitors. Other issues related to the toxicity of EGFR inhibitors, such as the clinical aspects of the acneiform eruption grades, and other different types of cutaneous and mucosal reactions, are also included in the article.

摘要

表皮生长因子受体 (EGFR) 作用药物的使用频率正在增加,随之而来的是皮肤毒性,特别是痤疮样疹。作者广泛地回顾了这个主题,重点描述了这些药物如何影响皮肤及其附属物,即包括与 EGFR 抑制剂使用相关的皮肤毒性的病理生理学。此外,还列出了可能与这些药物的不良反应相关的危险因素。基于这一新知识,作者希望能帮助管理更容易发生毒性的患者,减少发病,提高接受 EGFR 抑制剂治疗的患者的生活质量。该文还包括与 EGFR 抑制剂毒性相关的其他问题,如痤疮样疹分级的临床方面以及其他不同类型的皮肤和黏膜反应。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c81/10334360/eb337c262ac7/gr1.jpg

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