Capecitabine-Induced Genital Hand-Foot Syndrome Treated With Topical Tacrolimus

We describe a rare case of capecitabine-induced palmar-plantar erythrodysesthesia (PPE), or hand-foot syndrome (HFS), involving the genitals, which resolved with tacrolimus therapy, in a patient with cT3dN3 stage IIIc moderately differentiated proximal rectal adenocarcinoma who was undergoing neoadj...

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Veröffentlicht in:Curēus (Palo Alto, CA) CA), 2024-04, Vol.16 (4), p.e57570
Hauptverfasser: Chan, Bryan L, Wang, Tina
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description We describe a rare case of capecitabine-induced palmar-plantar erythrodysesthesia (PPE), or hand-foot syndrome (HFS), involving the genitals, which resolved with tacrolimus therapy, in a patient with cT3dN3 stage IIIc moderately differentiated proximal rectal adenocarcinoma who was undergoing neoadjuvant chemotherapy. Given its severe impact on the quality of life, HFS often requires independent local anti-inflammatory treatment and subsequent dose delay and/or modification of the patient's chemotherapy. We believe that our findings in this report can aid clinicians in the early recognition and management of capecitabine-associated HFS resulting in balanitis, as prompt treatment may reduce morbidity and avoid prolonged interruption of chemotherapy in these patients.
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subjects Abdomen
Case reports
Chemotherapy
Dermatitis
Drug dosages
Erythema
Hands
Hospitals
Magnetic resonance imaging
Patients
Penis
Radiation therapy
Sexually transmitted diseases
STD
Steroids
Toxicity
Urology
title Capecitabine-Induced Genital Hand-Foot Syndrome Treated With Topical Tacrolimus
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