Anticancer Drugs Induced Severe Adverse Cutaneous Drug Reactions: An Updated Review on the Risks Associated with Anticancer Targeted Therapy or Immunotherapies

Cutaneous adverse drug reactions are commonly seen in patients with anticancer drug treatment. Anticancer drugs, including chemotherapy, target therapy, and recent immunotherapy causing skin reactions ranging from mild skin rash to life-threatening severe cutaneous adverse reactions (SCARs), such as...

Full description

Saved in:
Bibliographic Details
Main Authors: Chau Yee Ng, Chun-Bing Chen, Ming-Ying Wu, Jennifer Wu, Chih-Hsun Yang, Rosaline Chung-Yee Hui, Ya-Ching Chang, Chun-Wei Lu
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Journal of Immunology Research
Online Access:http://dx.doi.org/10.1155/2018/5376476
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1841524610963603456
author Chau Yee Ng
Chun-Bing Chen
Ming-Ying Wu
Jennifer Wu
Chih-Hsun Yang
Rosaline Chung-Yee Hui
Ya-Ching Chang
Chun-Wei Lu
author_facet Chau Yee Ng
Chun-Bing Chen
Ming-Ying Wu
Jennifer Wu
Chih-Hsun Yang
Rosaline Chung-Yee Hui
Ya-Ching Chang
Chun-Wei Lu
author_sort Chau Yee Ng
collection DOAJ
description Cutaneous adverse drug reactions are commonly seen in patients with anticancer drug treatment. Anticancer drugs, including chemotherapy, target therapy, and recent immunotherapy causing skin reactions ranging from mild skin rash to life-threatening severe cutaneous adverse reactions (SCARs), such as Stevens-Johnson syndrome (SJS) and toxic epidermal necrosis (TEN) with increase morbidity and mortality while they are receiving cancer treatments, have been proposed to be a result of direct skin toxicity or drug hypersensitivity reactions (these are proposed mechanism, not definite). Differentiating SCARs from other more commonly seen reactions with a better outcome help prevent discontinuation of therapy and inappropriate use of systemic immunosuppressants for presumable allergic reactions, of which will affect the clinical outcome. In this article, we have reviewed published articles from 1950 to August 2017 for SJS/TEN associated with anticancer drugs, including chemotherapy, targeted therapy, and immunotherapy. We aimed to provide an overview of SJS/TEN associated with anticancer drugs to increase clinician recognition and accelerate future studies on the pathomechanism and managements.
format Article
id doaj-art-39d53496e86840cab4c678b895e5d51a
institution Kabale University
issn 2314-8861
2314-7156
language English
publishDate 2018-01-01
publisher Wiley
record_format Article
series Journal of Immunology Research
spelling doaj-art-39d53496e86840cab4c678b895e5d51a2025-02-03T05:47:45ZengWileyJournal of Immunology Research2314-88612314-71562018-01-01201810.1155/2018/53764765376476Anticancer Drugs Induced Severe Adverse Cutaneous Drug Reactions: An Updated Review on the Risks Associated with Anticancer Targeted Therapy or ImmunotherapiesChau Yee Ng0Chun-Bing Chen1Ming-Ying Wu2Jennifer Wu3Chih-Hsun Yang4Rosaline Chung-Yee Hui5Ya-Ching Chang6Chun-Wei Lu7Department of Dermatology, College of Medicine, Chang Gung Memorial Hospital, Keelung, Linkou, Taipei, TaiwanDepartment of Dermatology, College of Medicine, Chang Gung Memorial Hospital, Keelung, Linkou, Taipei, TaiwanDepartment of Dermatology, College of Medicine, Chang Gung Memorial Hospital, Keelung, Linkou, Taipei, TaiwanDepartment of Dermatology, College of Medicine, Chang Gung Memorial Hospital, Keelung, Linkou, Taipei, TaiwanDepartment of Dermatology, College of Medicine, Chang Gung Memorial Hospital, Keelung, Linkou, Taipei, TaiwanDepartment of Dermatology, College of Medicine, Chang Gung Memorial Hospital, Keelung, Linkou, Taipei, TaiwanDepartment of Dermatology, College of Medicine, Chang Gung Memorial Hospital, Keelung, Linkou, Taipei, TaiwanDepartment of Dermatology, College of Medicine, Chang Gung Memorial Hospital, Keelung, Linkou, Taipei, TaiwanCutaneous adverse drug reactions are commonly seen in patients with anticancer drug treatment. Anticancer drugs, including chemotherapy, target therapy, and recent immunotherapy causing skin reactions ranging from mild skin rash to life-threatening severe cutaneous adverse reactions (SCARs), such as Stevens-Johnson syndrome (SJS) and toxic epidermal necrosis (TEN) with increase morbidity and mortality while they are receiving cancer treatments, have been proposed to be a result of direct skin toxicity or drug hypersensitivity reactions (these are proposed mechanism, not definite). Differentiating SCARs from other more commonly seen reactions with a better outcome help prevent discontinuation of therapy and inappropriate use of systemic immunosuppressants for presumable allergic reactions, of which will affect the clinical outcome. In this article, we have reviewed published articles from 1950 to August 2017 for SJS/TEN associated with anticancer drugs, including chemotherapy, targeted therapy, and immunotherapy. We aimed to provide an overview of SJS/TEN associated with anticancer drugs to increase clinician recognition and accelerate future studies on the pathomechanism and managements.http://dx.doi.org/10.1155/2018/5376476
spellingShingle Chau Yee Ng
Chun-Bing Chen
Ming-Ying Wu
Jennifer Wu
Chih-Hsun Yang
Rosaline Chung-Yee Hui
Ya-Ching Chang
Chun-Wei Lu
Anticancer Drugs Induced Severe Adverse Cutaneous Drug Reactions: An Updated Review on the Risks Associated with Anticancer Targeted Therapy or Immunotherapies
Journal of Immunology Research
title Anticancer Drugs Induced Severe Adverse Cutaneous Drug Reactions: An Updated Review on the Risks Associated with Anticancer Targeted Therapy or Immunotherapies
title_full Anticancer Drugs Induced Severe Adverse Cutaneous Drug Reactions: An Updated Review on the Risks Associated with Anticancer Targeted Therapy or Immunotherapies
title_fullStr Anticancer Drugs Induced Severe Adverse Cutaneous Drug Reactions: An Updated Review on the Risks Associated with Anticancer Targeted Therapy or Immunotherapies
title_full_unstemmed Anticancer Drugs Induced Severe Adverse Cutaneous Drug Reactions: An Updated Review on the Risks Associated with Anticancer Targeted Therapy or Immunotherapies
title_short Anticancer Drugs Induced Severe Adverse Cutaneous Drug Reactions: An Updated Review on the Risks Associated with Anticancer Targeted Therapy or Immunotherapies
title_sort anticancer drugs induced severe adverse cutaneous drug reactions an updated review on the risks associated with anticancer targeted therapy or immunotherapies
url http://dx.doi.org/10.1155/2018/5376476
work_keys_str_mv AT chauyeeng anticancerdrugsinducedsevereadversecutaneousdrugreactionsanupdatedreviewontherisksassociatedwithanticancertargetedtherapyorimmunotherapies
AT chunbingchen anticancerdrugsinducedsevereadversecutaneousdrugreactionsanupdatedreviewontherisksassociatedwithanticancertargetedtherapyorimmunotherapies
AT mingyingwu anticancerdrugsinducedsevereadversecutaneousdrugreactionsanupdatedreviewontherisksassociatedwithanticancertargetedtherapyorimmunotherapies
AT jenniferwu anticancerdrugsinducedsevereadversecutaneousdrugreactionsanupdatedreviewontherisksassociatedwithanticancertargetedtherapyorimmunotherapies
AT chihhsunyang anticancerdrugsinducedsevereadversecutaneousdrugreactionsanupdatedreviewontherisksassociatedwithanticancertargetedtherapyorimmunotherapies
AT rosalinechungyeehui anticancerdrugsinducedsevereadversecutaneousdrugreactionsanupdatedreviewontherisksassociatedwithanticancertargetedtherapyorimmunotherapies
AT yachingchang anticancerdrugsinducedsevereadversecutaneousdrugreactionsanupdatedreviewontherisksassociatedwithanticancertargetedtherapyorimmunotherapies
AT chunweilu anticancerdrugsinducedsevereadversecutaneousdrugreactionsanupdatedreviewontherisksassociatedwithanticancertargetedtherapyorimmunotherapies