Skin Manifestations of Targeted Antineoplastic Therapy

Curr Probl Dermatol. 2018:53:93-104. doi: 10.1159/000479198. Epub 2017 Nov 7.

Abstract

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.

MeSH terms

  • Acneiform Eruptions / chemically induced
  • Antineoplastic Agents / adverse effects*
  • Drug Eruptions / etiology*
  • Humans
  • Molecular Targeted Therapy / adverse effects
  • Neoplasms / drug therapy*
  • Paronychia / chemically induced
  • Protein Kinase Inhibitors / adverse effects*
  • Tumor Necrosis Factor-alpha / antagonists & inhibitors*

Substances

  • Antineoplastic Agents
  • Protein Kinase Inhibitors
  • Tumor Necrosis Factor-alpha