Please login or create an account. If you do not have access to this content, you will be shown a 30 second preview and licensing options.
- Presentation
Update on Cutaneous Reactions to Targeted and Immune Cancer Therapy
Description
Dr. Anisha Patel, a dermatologist at MD Anderson Cancer Center, discusses cutaneous toxicities related to targeted and immune cancer therapies. She highlights her clinical background and involvement in oncology, emphasizing the increasing prevalence of skin reactions associated with therapies like EGFR inhibitors, checkpoint inhibitors, and combination treatments. Patel notes that these cutaneous toxicities can significantly impact patient quality of life and treatment adherence, driving the need for dermatology to be a key player in cancer patient care teams.
She provides insight into various toxicities, specifically the high incidence of skin reactions such as acneiform eruptions and dermatitis that arise from these treatments. Patel employs clinical case studies to illustrate the management of these conditions, advocating for routine cultures to diagnose infections accurately. She stresses the importance of personalized treatment that considers the unique aspects of each patient's skin condition, suggesting therapies such as oral tetracyclines for inflammation, dapsone for erosive pustular dermatosis, and dupilumab for eczema associated with these skin reactions.
The session aims to raise awareness of these toxicities' complexities, their clinical presentations, and management strategies, advocating for an integrated approach to cancer care that includes proactive dermatological interventions to enhance patient outcomes.
Conclusions
- Cutaneous toxicities from targeted and immune cancer therapies are common and significantly impact patient treatment and quality of life.
- EGFR monoclonal antibodies are associated with the highest incidence of skin reactions, often leading to dose modifications or treatment discontinuation.
- Combination therapies increase the likelihood of severe cutaneous reactions, complicating treatment regimens.
- Management of skin toxicities should focus on symptom relief and infection control, requiring collaboration between oncologists and dermatologists.
- There is a rising concern over antibiotic resistance due to the recurrent use of antibiotics for treating skin infections associated with cancer therapies.
- New treatment strategies like dupilumab and systemic retinoids may benefit patients with skin toxicities from cancer therapies, offering alternatives when traditional treatments fail.
- Jing et al, Nat Comm, Oct 2022
- Bigby M. Rates of cutaneous reactions to drugs.Arch Dermatol. 2001;137(6):765-70.
- Curry JL, Torres-cabala CA, Kim KB, et al. Int J Dermatol. 2014.
- Andrews ED, Garg N, Patel AB. A Retrospective Chart Review on Oral Retinoids as a Treatment for Epidermal Growth Factor Receptor Inhibitor and Mitogen-activated Protein Kinase Kinase Inhibitor Induced Acneiform Eruptions. J Am Acad Dermatol. 2019;
- Chiang HC, Anadkat MJ. Isotretinoin for high-grade or refractory epidermal growth factor receptor inhibitor-related acneiform papulopustular eruptions. J Am Acad Dermatol. 2013;69(4):657-8.
- Wetzel ML, Rubin Al, Hanania H, Patel AB. | Am Acad.