Anti-Cancer Drug-Induced Lyell’s Syndrome: A Series of Two Patients

Lyell’s syndrome or Toxic Epidermal Necrolysis (TEN) is a rare and life-threatening dermatological disease. Most commonly, this syndrome is drug-induced, and is a result of an immune-allergic reaction to medications. Anti-cancer drugs were not the most frequent groups of therapeutic agents related t...

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Main Authors: Julie Coussirou, Magali Ravoire, Alma Stancu, Léa Vazquez
Format: Article
Language:English
Published: MDPI AG 2024-11-01
Series:Current Oncology
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Online Access:https://www.mdpi.com/1718-7729/31/11/509
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author Julie Coussirou
Magali Ravoire
Alma Stancu
Léa Vazquez
author_facet Julie Coussirou
Magali Ravoire
Alma Stancu
Léa Vazquez
author_sort Julie Coussirou
collection DOAJ
description Lyell’s syndrome or Toxic Epidermal Necrolysis (TEN) is a rare and life-threatening dermatological disease. Most commonly, this syndrome is drug-induced, and is a result of an immune-allergic reaction to medications. Anti-cancer drugs were not the most frequent groups of therapeutic agents related to Lyell’s syndrome, but the emergence of new therapeutic classes, particularly targeted therapy and immunotherapy, is changing current data. We present two cases of Lyell’s syndrome induced by anticancer drugs. (1) TEN in a man treated for metastatic urothelial carcinoma with Enfortumab Vedotin. (2) TEN in a man with metastatic melanoma treated with Nivolumab and Ipilimumab. Despite quick medical treatment and transfer to a severe burn unit, both patients died of TEN.
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institution Kabale University
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language English
publishDate 2024-11-01
publisher MDPI AG
record_format Article
series Current Oncology
spelling doaj-art-3f51008f52e64cdf91d66f1ecc1510b02024-11-26T17:58:56ZengMDPI AGCurrent Oncology1198-00521718-77292024-11-0131116891689710.3390/curroncol31110509Anti-Cancer Drug-Induced Lyell’s Syndrome: A Series of Two PatientsJulie Coussirou0Magali Ravoire1Alma Stancu2Léa Vazquez3Institut du Cancer Avignon Provence, 250 Chemin de Baigne-Pieds, 84000 Avignon, FranceInstitut du Cancer Avignon Provence, 250 Chemin de Baigne-Pieds, 84000 Avignon, FranceInstitut du Cancer Avignon Provence, 250 Chemin de Baigne-Pieds, 84000 Avignon, FranceInstitut du Cancer Avignon Provence, 250 Chemin de Baigne-Pieds, 84000 Avignon, FranceLyell’s syndrome or Toxic Epidermal Necrolysis (TEN) is a rare and life-threatening dermatological disease. Most commonly, this syndrome is drug-induced, and is a result of an immune-allergic reaction to medications. Anti-cancer drugs were not the most frequent groups of therapeutic agents related to Lyell’s syndrome, but the emergence of new therapeutic classes, particularly targeted therapy and immunotherapy, is changing current data. We present two cases of Lyell’s syndrome induced by anticancer drugs. (1) TEN in a man treated for metastatic urothelial carcinoma with Enfortumab Vedotin. (2) TEN in a man with metastatic melanoma treated with Nivolumab and Ipilimumab. Despite quick medical treatment and transfer to a severe burn unit, both patients died of TEN.https://www.mdpi.com/1718-7729/31/11/509toxic epidermal necrolysisLyell’s syndromeenfortumab vedotinnivolumabpharmacovigilance
spellingShingle Julie Coussirou
Magali Ravoire
Alma Stancu
Léa Vazquez
Anti-Cancer Drug-Induced Lyell’s Syndrome: A Series of Two Patients
Current Oncology
toxic epidermal necrolysis
Lyell’s syndrome
enfortumab vedotin
nivolumab
pharmacovigilance
title Anti-Cancer Drug-Induced Lyell’s Syndrome: A Series of Two Patients
title_full Anti-Cancer Drug-Induced Lyell’s Syndrome: A Series of Two Patients
title_fullStr Anti-Cancer Drug-Induced Lyell’s Syndrome: A Series of Two Patients
title_full_unstemmed Anti-Cancer Drug-Induced Lyell’s Syndrome: A Series of Two Patients
title_short Anti-Cancer Drug-Induced Lyell’s Syndrome: A Series of Two Patients
title_sort anti cancer drug induced lyell s syndrome a series of two patients
topic toxic epidermal necrolysis
Lyell’s syndrome
enfortumab vedotin
nivolumab
pharmacovigilance
url https://www.mdpi.com/1718-7729/31/11/509
work_keys_str_mv AT juliecoussirou anticancerdruginducedlyellssyndromeaseriesoftwopatients
AT magaliravoire anticancerdruginducedlyellssyndromeaseriesoftwopatients
AT almastancu anticancerdruginducedlyellssyndromeaseriesoftwopatients
AT leavazquez anticancerdruginducedlyellssyndromeaseriesoftwopatients