6533b839fe1ef96bd12a65f1

RESEARCH PRODUCT

Clinical Management of Cutaneous Adverse Events in Patients on Chemotherapy: A National Consensus Statement by the Spanish Academy of Dermatology and Venereology and the Spanish Society of Medical Oncology

Sonia SeguraR. BotellaM. MajemH. Jin Suh-ohI. AragónC. GrávalosA. EspañaC. BeatoOnofre SanmartínA. Gúrpide

subject

medicine.medical_specialtyHistologymedicine.medical_treatmentNeutrophilic eccrine hidradenitisDermatologyDiseasePathology and Forensic Medicine030207 dermatology & venereal diseases03 medical and health sciences0302 clinical medicineQuality of lifePhotosensitivityHyperpigmentationRashChemotherapyMedicineskin and connective tissue diseasesAdverse effectChemotherapybusiness.industryDermatological toxicityCancermedicine.diseaseDermatologyHyperpigmentationRash030220 oncology & carcinogenesismedicine.symptomCutaneous toxicitybusiness

description

Although the arrival of new chemotherapy drugs and combinations has brought progress in terms of cancer patient survival, they entail many adverse effects that can compromise treatment, and hence prognosis, of the disease. Cytostatic agents can cause dermatological toxicity, among other side effects. The most familiar adverse effect of chemotherapy is alopecia. Although not serious, this changes the outward appearance of cancer patients. Other adverse effects include hypersensitivity and photosensitivity reactions, hand-foot syndrome, epidermal necrolysis, recall reactions, scleroderma-like reactions, Raynaud's phenomenon, eccrine squamous syringometaplasia, neutrophilic eccrine hidradenitis, nail abnormalities, pigmentation changes and extravasation injuries. Onset of these adverse effects often causes ose reduction and/or delayed treatment, which can affect patient survival and quality of life. It is therefore important to prevent their occurrence and treat them promptly, which requires cooperation between medical oncologists and dermatologists. This article reviews chemotherapy ssociated dermatological toxicity, along with its diagnosis and therapeuticmanagement. (C) 2019 AEDV. Published by Elsevier Espana, S.L.U. All rights reserved.

https://doi.org/10.1016/j.adengl.2019.05.003