Severe photosensitivity causing multifocal squamous cell carcinomas secondary to prolonged voriconazole therapy

Clin Infect Dis. 2007 Mar 1;44(5):e55-6. doi: 10.1086/511685. Epub 2007 Jan 23.

Abstract

A 32-year-old woman was treated with long-term voriconazole therapy for recurrent aspergillosis associated with chronic granulomatous disease. A short time after commencement of voriconazole therapy, a severe photosensitivity reaction developed. Continued voriconazole exposure led to the development of multifocal facial squamous cell carcinomas. The photosensitivity reaction resolved after the patient changed therapy to posaconazole.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Antifungal Agents / adverse effects*
  • Antifungal Agents / therapeutic use
  • Carcinoma, Squamous Cell / etiology*
  • Female
  • Granulomatous Disease, Chronic / drug therapy
  • Humans
  • Photosensitivity Disorders / chemically induced*
  • Photosensitivity Disorders / diagnosis
  • Photosensitivity Disorders / pathology
  • Pyrimidines / adverse effects*
  • Pyrimidines / therapeutic use
  • Skin Neoplasms / etiology*
  • Triazoles / adverse effects*
  • Triazoles / therapeutic use
  • Voriconazole

Substances

  • Antifungal Agents
  • Pyrimidines
  • Triazoles
  • Voriconazole