Successful management of imatinib despite alopecia and nail necrosis

Transfus Apher Sci. 2013 Apr;48(2):271-2. doi: 10.1016/j.transci.2013.01.002. Epub 2013 Feb 16.

Abstract

Imatinib mesylate selectively inhibits bcr/abl and other non-specific tyrosine kinases, such as c-kit and platelet derived growth factor (PDGF) receptor and successfully used to treat chronic myeloid leukaemia (CML). In most cases, the drug is well tolerated: however, side effects can be seen. Hair loss and paronychia inflammation were often reported with Imatinib, but total alopecia was rarely mentioned. We report a CML patient who was presented with alopecia and paronychia inflammation probably induced by imatinib therapy. We have successfully treated our patient by cessation and then re-applying therapy with lower doses after improvement of lesions and have not found a similar report in literature.

Publication types

  • Case Reports

MeSH terms

  • Alopecia* / chemically induced
  • Alopecia* / pathology
  • Benzamides* / administration & dosage
  • Benzamides* / adverse effects
  • Humans
  • Imatinib Mesylate
  • Leukemia, Myelogenous, Chronic, BCR-ABL Positive* / drug therapy
  • Leukemia, Myelogenous, Chronic, BCR-ABL Positive* / pathology
  • Male
  • Middle Aged
  • Necrosis
  • Paronychia* / chemically induced
  • Paronychia* / pathology
  • Piperazines* / administration & dosage
  • Piperazines* / adverse effects
  • Pyrimidines* / administration & dosage
  • Pyrimidines* / adverse effects

Substances

  • Benzamides
  • Piperazines
  • Pyrimidines
  • Imatinib Mesylate