Acneiform eruption induced by molecularly targeted agents in antineoplastic therapy: A review.

Abstract

BACKGROUND:

Various biologic agents targeting specific molecules present new treatment options for various tumors. Acneiform eruption is a very common skin reaction to these agents. Although not life-threatening, acneiform eruption can affect patients' emotional and social lives. In very exceptional cases, it can lead to cancer therapy interruption.

AIMS:

The aim of this study was to review the incidence rate, clinical characteristics, pathogenesis, and current management of acneiform eruption induced by molecularly targeted agents.

METHODS:

This review was carried out through PubMed, Embase, and Cochrane searching terms 'acneiform eruption', 'papulopustular eruption' or 'acne-like rash' and 'skin toxicity', 'cutaneous toxicity', 'skin reactions', 'dermatological toxicities', 'target therapy,' or 'drug therapy'.

RESULTS:

Of the 73 articles matched our search terms, 61 were original articles and 12 were case reports or case series. Acneiform eruption is most commonly observed in patients treated with epidermal growth factor receptor inhibitors and mitogen-activated protein kinase inhibitors. Typical lesions consist of erythematous papules and pustules without comedones, accompanying with burning, pruritus, or xerosis. The pathogenesis involves inflammation and abnormalities of the follicular epithelium, where a disorder in EGFR signaling plays a key role. The treatment of acneiform eruption depends on the severity of the rash.

CONCLUSIONS:

Early recognition and effective management of this cutaneous adverse reaction can prevent unnecessary reduction and discontinuation of drug use and improve patient survival and quality of life. Close collaboration between oncologists and dermatologists is important to optimize therapy and improve patient survival.

• Authors: Chen Yuan, Baoxi Wang
• Journal: Journal of cosmetic dermatology (J Cosmet Dermatol) Vol. 22 Issue 8 Pg. 2150-2157 (Aug 2023) ISSN: 1473-2165 [Electronic] England
• PMID: 36924348 (Publication Type: Journal Article, Review)
• Copyright: © 2023 The Authors. Journal of Cosmetic Dermatology published by Wiley Periodicals LLC.

Chemical References

• Antineoplastic Agents

Topics

• Humans
• Quality of Life
• Antineoplastic Agents (adverse effects)
• Acneiform Eruptions (chemically induced, pathology)
• Exanthema (chemically induced, drug therapy)
• Skin Diseases (drug therapy)