Skin problems and EGFR-tyrosine kinase inhibitor

Jpn J Clin Oncol. 2016 Apr;46(4):291-8. doi: 10.1093/jjco/hyv207. Epub 2016 Jan 29.

Abstract

Epidermal growth factor receptor inhibition is a good target for the treatment of lung, colon, pancreatic and head and neck cancers. Epidermal growth factor receptor-tyrosine kinase inhibitor was first approved for the treatment of advanced lung cancer in 2002. Epidermal growth factor receptor-tyrosine kinase inhibitor plays an essential role in the treatment of cancer, especially for patients harbouring epidermal growth factor receptor activating mutation. Hence, skin toxicity is the most concerning issue for the epidermal growth factor receptor-tyrosine kinase inhibitor treatment. Skin toxicity is bothersome and sometimes affects the quality of life and treatment compliance. Thus, it is important for physicians to understand the background and how to manage epidermal growth factor receptor-tyrosine kinase inhibitor-associated skin toxicity. Here, the author reviewed the mechanism and upfront preventive and reactive treatments for epidermal growth factor receptor inhibitor-associated skin toxicities.

Keywords: EGFR-TKI; minocycline; rash acneiform; skin rash.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Administration, Cutaneous
  • Administration, Oral
  • Adrenal Cortex Hormones / administration & dosage
  • Anti-Bacterial Agents / administration & dosage
  • Antineoplastic Agents / administration & dosage
  • Antineoplastic Agents / adverse effects*
  • Antineoplastic Agents / therapeutic use
  • Aspirin / administration & dosage
  • Dermatologic Agents / administration & dosage*
  • ErbB Receptors / antagonists & inhibitors*
  • Exanthema / chemically induced*
  • Exanthema / epidemiology
  • Exanthema / prevention & control
  • Humans
  • Paronychia / chemically induced
  • Paronychia / prevention & control
  • Patient Education as Topic
  • Protein Kinase Inhibitors / administration & dosage
  • Protein Kinase Inhibitors / adverse effects*
  • Protein-Tyrosine Kinases / antagonists & inhibitors*
  • Quality of Life
  • Randomized Controlled Trials as Topic
  • Retinoids / administration & dosage
  • Severity of Illness Index
  • Skin / drug effects*
  • Skin / pathology
  • Skin / physiopathology
  • Skin Diseases / chemically induced
  • Sunscreening Agents / administration & dosage
  • Vitamin K / administration & dosage

Substances

  • Adrenal Cortex Hormones
  • Anti-Bacterial Agents
  • Antineoplastic Agents
  • Dermatologic Agents
  • Protein Kinase Inhibitors
  • Retinoids
  • Sunscreening Agents
  • Vitamin K
  • EGFR protein, human
  • ErbB Receptors
  • Protein-Tyrosine Kinases
  • Aspirin