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Tamoxifen-associated vasculitis in a breast cancer patient.

AbstractBACKGROUND: Estrogen plays a critical role in breast cancer. Thereafter, endocrine therapy is a standard of care in patients with breast carcinoma, expressing ER or PR. CASE PRESENTATION: Herein we report the case of a 53-year old patient, who developed cholestasis and vasculitis during the treatment with tamoxifen. This toxicity was reversable after the removal of the drug. Thereafter she continued adjuvant treatment for breast carcinoma with anastrazole. Since tamoxifen has been widely indicated for patients with breast carcinoma, we did a literature review, looking for other cases with this type of toxicity. CONCLUSION: This case is the third with vasculitis informed in the literature, but the first one that additionally developed cholestasis and arthritis. Although it is rare, we discuss the indication of this drug in the actual era, where aromatase inhibitors offer a better security profile.
AuthorsMyrna Candelaria, Rafael Hurtado-Monroy, Pablo Vargas-Viveros, Silvia Carrillo-Muñnoz, Alfonso Duenas-Gonzalez (Affiliation: Department of Hematología Oncología, Hospital Angeles del Pedregal, Mexico city, Mexico. myrnac at prodigy.net.mx)
JournalWorld journal of surgical oncology (World J Surg Oncol) Vol. 5 Pg. 9 ( 2007) ISSN: 1477-7819 England
PMID17244373 (Publication Type: Journal Article)