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Detection of a new melanoma in a patient treated with fingolimod. | LitMetric

Detection of a new melanoma in a patient treated with fingolimod.

BMJ Case Rep

Laboratoire Central d'Anatomie et Cytologie Pathologique, Centre Hospitalier Universitaire de Nice, Hôpital Pasteur, CHU Nice, Nice, France.

Published: April 2019

AI Article Synopsis

  • A 52-year-old Caucasian patient with relapsing-remitting multiple sclerosis developed an unclassified skin cancer, a rare occurrence among patients treated with fingolimod.
  • This patient had no history of melanoma, minimal skin lesions, and limited sun exposure, making her case unique compared to typical melanoma cases reported in other studies.
  • The overall incidence of skin cancer in multiple sclerosis patients is low, but recent cases emphasize the need for enhanced dermatological monitoring for these individuals.

Article Abstract

In addition to the TRANSFORMS, FREEDOMS, INFORMS studies, very few publications have identified new cases of skin cancer in patients treated with fingolimod. Here, we present the case of a 52-year-old Caucasian patient with relapsing remitting multiple sclerosis for 19 years, with a phototype II with blue eyes, light brown hair, no personal or family history of melanoma and a low number of naevi (<10). She did not experience intense sun exposure in childhood as well as severe sunburn and did not practise sessions in ultraviolet cabins. This case is distinguished from other published cases, usually superficial spreading malignant melanoma by its unclassifiable histological character. The occurrence of skin cancers in patients with multiple sclerosis remains exceptional, but new cases have recently emerged requiring the strengthening of dermatological follow-up of such patients.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6506067PMC
http://dx.doi.org/10.1136/bcr-2018-227951DOI Listing

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