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[Therapy of severe cetuximab-induced acneiform eruptions with oral retinoid, topical antibiotic and topical corticosteroid]

AbstractThe biological agent cetuximab specifically inhibits the epidermal growth factor receptor (EGFR) function. Cetuximab is licensed for treatment of metastatic colorectal carcinoma, as it enhances the efficacy of cytostatic therapy. Acneiform drug eruptions are common side effects. We report two patients with metastatic colorectal carcinoma, who developed a severe acneiform drug eruption on the face and upper part of the body during the treatment with cetuximab. Triple therapy consisting of systemic isotretinoin, topical nadifloxacin and topical corticosteroid produced rapid improvement with moderate cheilitis the only side effect. We conclude that triple therapy is an effective treatment for patients with severe acneiform drug eruptions caused by cetuximab.
AuthorsA Wollenberg, N Moosmann, J Kroth, V Heinemann, E Klein (Affiliation: Klinik und Poliklinik für Dermatologie und Allergologie, Ludwig-Maximilians-Universität München, Frauenlobstrasse 9-11, 80337 Münich, Germany. andreas.wollenberg at lrz.uni-muenchen.de)
JournalDer Hautarzt; Zeitschrift für Dermatologie, Venerologie, und verwandte Gebiete (Hautarzt) Vol. 58 Issue 7 Pg. 615-8 (Jul 2007) ISSN: 0017-8470 Germany
Vernacular TitleTherapie schwerer akneiformer Cetuximab-Exantheme mit oralem Retinoid, topischem Antibiotikum und Steroidexternum.
PMID17146641 (Publication Type: Case Reports, English Abstract, Journal Article)
Chemical References
  • Adrenal Cortex Hormones
  • Anti-Bacterial Agents
  • Antibodies, Monoclonal
  • Antineoplastic Agents
  • Dermatologic Agents
  • Fluoroquinolones
  • Quinolizines
  • cetuximab
  • nadifloxacin
  • Isotretinoin
  • Receptor, Epidermal Growth Factor
Topics
  • Acneiform Eruptions (chemically induced, drug therapy)
  • Administration, Oral
  • Administration, Topical
  • Adrenal Cortex Hormones (administration & dosage)
  • Anti-Bacterial Agents (administration & dosage)
  • Antibodies, Monoclonal (adverse effects)
  • Antineoplastic Agents (adverse effects)
  • Colorectal Neoplasms (drug therapy, secondary)
  • Dermatologic Agents (administration & dosage)
  • Drug Eruptions (drug therapy, etiology)
  • Drug Therapy, Combination
  • Fluoroquinolones (administration & dosage)
  • Humans
  • Isotretinoin (administration & dosage)
  • Male
  • Middle Aged
  • Quinolizines (administration & dosage)
  • Receptor, Epidermal Growth Factor (antagonists & inhibitors)
  • Treatment Outcome