[Unilateral acneiform rash in facial palsy].

Ann Dermatol Venereol

Hôpital Saint-Louis, AP-HP, Paris, France.

Published: November 2010

AI Article Synopsis

  • Cetuximab is a monoclonal antibody targeting the epidermal growth factor receptor, used in treating epithelial cancers, often alongside other treatments to boost effectiveness.
  • The text discusses a unique case of unilateral acneiform eruption caused by cetuximab in a patient with facial palsy, differing from the more common bilateral symptoms.
  • The authors suggest that reduced lymphatic drainage due to facial palsy may contribute to the localized effects of cetuximab, a phenomenon not previously documented in medical literature.

Article Abstract

Background: Cetuximab is a chimeric monoclonal antibody selective for epidermal growth factor receptor (EGFR). It is increasingly used in epithelial cancer, often in combination with radiotherapy or chemotherapeutic agents, since it induces a broad range of cellular responses that enhance tumour sensitivity to these therapies. However, it can cause numerous adverse effects, the most common being acneiform eruption on the face and trunk, which is generally bilateral and symmetric.

Patients And Methods: Herein we present the first case of unilateral cetuximab-induced acneiform eruption in facial palsy.

Discussion: To our knowledge the medical literature contains no other such cases. Our hypothesis is that lymphoedema associated with facial palsy reduces lymphatic drainage, promoting the deposition of cetuximab on EGFR and persistence of local signs.

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Source
http://dx.doi.org/10.1016/j.annder.2010.06.026DOI Listing

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