Photoallergic reaction in a patient receiving vandetanib for metastatic follicular thyroid carcinoma: a case report.

Q2 Medicine
Jennifer Goldstein, Anisha B Patel, Jonathan L Curry, Vivek Subbiah, Sarina Piha-Paul
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引用次数: 16

Abstract

Background: Novel targeted agents have been increasingly developed and tested in clinical trials over the past 5-10 years, many with unknown and unanticipated side effects. We describe here a case of a patient with a history of metastatic follicular thyroid carcinoma that we believe developed vandetanib-associated photoallergic dermatitis while enrolled on a phase 1 clinical trial.

Case presentation: A 51-year-old Caucasian female with poorly differentiated, metastatic follicular thyroid carcinoma presented with a cutaneous eruption that developed over 3 to 4 days while treated on phase 1 clinical trial with vandetanib-based therapy. Given the concern for photoallergic dermatitis, vandetanib was discontinued and supportive care provided including topical and oral steroid administration. Her cutaneous eruption improved and she was successfully re-challenged with vandetanib.

Conclusion: Tyrosine kinase inhibitors, such as typo-vandetinib, with various therapeutic targets have come to the forefront of oncologic therapy in recent years. It is important to have a better understanding of the side effect profile and management in order to anticipate adverse events and maintain patient safety in future clinical trials.

Abstract Image

Abstract Image

转移性滤泡性甲状腺癌患者接受万德替尼治疗的光过敏反应1例报告。
背景:在过去的5-10年里,新型靶向药物的开发和临床试验越来越多,许多药物具有未知和未预料到的副作用。我们在这里描述一个病例,患者的转移性滤泡性甲状腺癌的历史,我们认为发展万德他尼相关的光过敏性皮炎,而参加1期临床试验。病例介绍:一名51岁的高加索女性,患有低分化、转移性滤泡性甲状腺癌,在接受万德替尼为基础的1期临床试验治疗时,出现了3至4天的皮肤爆发。考虑到对光过敏性皮炎的担忧,万德替尼被停用,并提供包括局部和口服类固醇给药在内的支持性治疗。她的皮肤皮疹有所改善,她成功地再次挑战万德替尼。结论:酪氨酸激酶抑制剂,如typo-vandetinib,具有多种治疗靶点,近年来已成为肿瘤治疗的前沿。为了在未来的临床试验中预测不良事件和维护患者安全,更好地了解副作用概况和管理是很重要的。
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来源期刊
BMC Dermatology
BMC Dermatology Medicine-Dermatology
自引率
0.00%
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期刊介绍: BMC Dermatology is an open access journal publishing original peer-reviewed research articles in all aspects of the prevention, diagnosis and management of skin disorders, as well as related molecular genetics, pathophysiology, and epidemiology. BMC Dermatology (ISSN 1471-5945) is indexed/tracked/covered by PubMed, MEDLINE, CAS, EMBASE, Scopus and Google Scholar.
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