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表皮生长因子受体抑制剂治疗的皮肤和全身表现:一例PRIDE综合征病例

Cutaneous and systemic manifestations of EGFR inhibitor therapy: A case of PRIDE syndrome.

作者信息

Alghamdi Fadi Ali, Alotaibi Yaser Omar, Alshehri Sumayah Dhafer, Zahrani Anhar Khalid, Alhawsawi Waseem Khalid, Alzaidi Reema Saeed, Bondagji Mohammed Fuad, Niyazi Ahmed Abdulshakur

机构信息

Department of Dermatology, King Fahad Armed Forces Hospital, Jeddah, Saudi Arabia.

Department of Medicine, College of Medicine, Umm Al-Qura University, Makkah, Saudi Arabia.

出版信息

J Family Med Prim Care. 2025 May;14(5):2074-2077. doi: 10.4103/jfmpc.jfmpc_1928_24. Epub 2025 May 31.

Abstract

EGFR inhibitors have revolutionized the treatment of advanced malignancies by targeting cancer cells specifically. The "PRIDE" complex encompasses a range of cutaneous adverse effects linked to EGFR inhibition therapy, including acneiform eruptions, xerosis, eczema, paronychia, and hair and nail changes. Cutaneous toxicities are among the most reported adverse events in this context. This report presents a case illustrating the dermatological side effects of EGFR inhibition therapy. The case involves a 73-year-old man with colon cancer undergoing (folinic acid, fluorouracil, irinotecan) + cetuximab treatment, presenting with diffuse rash, severe xerosis, bilateral scleral congestion, hyperpigmentation, nail changes, abdomen and toe ulcers, and skin infections.

摘要

表皮生长因子受体(EGFR)抑制剂通过特异性靶向癌细胞,彻底改变了晚期恶性肿瘤的治疗方式。“PRIDE”综合征包括一系列与EGFR抑制治疗相关的皮肤不良反应,包括痤疮样皮疹、皮肤干燥、湿疹、甲沟炎以及毛发和指甲改变。在这种情况下,皮肤毒性是报告最多的不良事件之一。本报告介绍了一例说明EGFR抑制治疗的皮肤副作用的病例。该病例为一名73岁的结肠癌男性患者,正在接受(亚叶酸、氟尿嘧啶、伊立替康)+西妥昔单抗治疗,出现了弥漫性皮疹、严重皮肤干燥、双侧巩膜充血、色素沉着、指甲改变、腹部和脚趾溃疡以及皮肤感染。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/755a/12178502/3584052cd84e/JFMPC-14-2074-g001.jpg

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