Bullous dermatosis associated with gemcitabine therapy for non-small-cell lung carcinoma

Gemcitabine considered is to be a well-tolerated cytostatic drug with little known side effects. Cutaneous reactions are well known but still rarely reported. We report the case of a 75-year-old man with stage IV non-small-cell lung carcinoma treated with combination of gemcitabine 1000 mg/m 2 and c...

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Veröffentlicht in:Respiratory medicine 2006-08, Vol.100 (8), p.1463-1465
Hauptverfasser: Imen, Aissa, Amal, Khattab, Ines, Zendah, Sameh, El Farhati, Fethi, El Mekki, Habib, Ghedira
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container_issue 8
container_start_page 1463
container_title Respiratory medicine
container_volume 100
creator Imen, Aissa
Amal, Khattab
Ines, Zendah
Sameh, El Farhati
Fethi, El Mekki
Habib, Ghedira
description Gemcitabine considered is to be a well-tolerated cytostatic drug with little known side effects. Cutaneous reactions are well known but still rarely reported. We report the case of a 75-year-old man with stage IV non-small-cell lung carcinoma treated with combination of gemcitabine 1000 mg/m 2 and cisplatin 75 mg/m 2 repeated every 28 days, who developed bilateral cutaneous bullous lesions of lower limbs following gemcitabine administration. Histopathologic examination did not show any toxidermy aspect and there was not any sign of immunoglobulin deposit in direct immunofluorescence test. Chemotherapy was stopped and lesions disappeared without any treatment. Even delayed with regard to gemcitabine administration, the causal relationship of gemcitabine treatment with skin reaction is possible according to the Naranjo probability scale. Pathologists should be aware of this kind of side effect in managing chemotherapy drugs and report any dermatologic reactions in order to identify the cause of toxicity and avoid a misdiagnosis.
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subjects Aged
Antimetabolites, Antineoplastic - adverse effects
Baldness
Biological and medical sciences
Blister - chemically induced
Bullous dermatosis
Bullous diseases of the skin
Cancer therapies
Carcinoma, Non-Small-Cell Lung - drug therapy
Chemotherapy
Deoxycytidine - adverse effects
Deoxycytidine - analogs & derivatives
Dermatology
Drug Eruptions - etiology
Gemcitabine
Humans
Legs
Lung carcinoma
Lung Neoplasms - drug therapy
Male
Medical sciences
Pneumology
Skin diseases
Toxicity
Tumors of the respiratory system and mediastinum
title Bullous dermatosis associated with gemcitabine therapy for non-small-cell lung carcinoma
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