Hand-foot-skin reaction related to use of the multikinase inhibitor sorafenib and hard orthotics

Pediatr Dermatol. 2018 Jul;35(4):e206-e209. doi: 10.1111/pde.13523. Epub 2018 May 15.

Abstract

Hand-foot-skin reaction is a distinct clinical condition arising in association with the use of multikinase inhibitors, including sorafenib. Because multikinase inhibitors are increasingly being used in children with cancer, recognition of this previously unfamiliar condition is of importance to pediatric dermatologists. We describe the diagnosis and successful treatment of a case of hand-foot-skin reaction in a child taking sorafenib for an unresectable desmoid tumor.

Keywords: hand-foot skin reaction; hyperkeratotic lesions; keratolytics; multikinase inhibitors; sorafenib; topical corticosteroids.

Publication types

  • Case Reports

MeSH terms

  • Child
  • Diagnosis, Differential
  • Fluocinolone Acetonide / therapeutic use
  • Glucocorticoids / therapeutic use
  • Hand-Foot Syndrome / diagnosis*
  • Hand-Foot Syndrome / drug therapy
  • Humans
  • Male
  • Niacinamide / adverse effects
  • Niacinamide / analogs & derivatives*
  • Orthotic Devices / adverse effects*
  • Phenylurea Compounds / adverse effects*
  • Protein Kinase Inhibitors / adverse effects*
  • Sorafenib

Substances

  • Glucocorticoids
  • Phenylurea Compounds
  • Protein Kinase Inhibitors
  • Fluocinolone Acetonide
  • Niacinamide
  • Sorafenib