Managing the skin toxicities from new melanoma drugs

Curr Treat Options Oncol. 2014 Jun;15(2):281-301. doi: 10.1007/s11864-014-0284-6.

Abstract

Patients treated with ipilimumab or targeted inhibitors of the RAF-MEK-ERK pathway (vemurafenib, dabrafenib, and trametinib) for advanced cutaneous melanoma often experience drug-related skin toxicities denoted as dermatologic adverse events (DAEs). Although rarely life-threatening, DAEs may emerge dramatically and potentially compromise oncologic therapy if not managed in a timely and effective manner. Early recognition of DAEs is critical to providing optimal skin care and prompt consultation with a dermatologist should be obtained when a diagnosis is unclear. The expanding utilization of new melanoma drugs compels physicians to maintain a watchful eye for both known and novel DAEs and to adopt a low threshold to biopsy worrisome skin findings. Numerous therapeutic options are available to manage DAEs including topical and systemic agents as well as surgical and destructive modalities. Applying such methods improves overall patient care and optimizes the effectiveness of new therapies for advanced cutaneous melanoma.

Publication types

  • Review

MeSH terms

  • Antibodies, Monoclonal / adverse effects
  • Antineoplastic Agents / adverse effects*
  • Humans
  • Imidazoles / adverse effects
  • Indoles / adverse effects
  • Inflammation
  • Ipilimumab
  • Melanoma / drug therapy*
  • Melanoma, Cutaneous Malignant
  • Oximes / adverse effects
  • Pyridones / adverse effects
  • Pyrimidinones / adverse effects
  • Skin / drug effects*
  • Skin Diseases / chemically induced
  • Skin Neoplasms / drug therapy*
  • Sulfonamides / adverse effects
  • Treatment Outcome
  • Vemurafenib

Substances

  • Antibodies, Monoclonal
  • Antineoplastic Agents
  • Imidazoles
  • Indoles
  • Ipilimumab
  • Oximes
  • Pyridones
  • Pyrimidinones
  • Sulfonamides
  • Vemurafenib
  • trametinib
  • dabrafenib