Acrofacial vitiligo secondary to PI3KCA inhibitor, alpelisib: case report

Alpelisib plus fulvestrant is a valid second or advanced line of treatment for patients with metastatic hormone receptor (HR)-positive, HER2-negative breast cancer who harbor an activating PIK3CA mutation. The well-known side effects of alpelisib are hyperglycemia, rash, and diarrhea. Herein, we rep...

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Main Authors: Maayan Geller Hinich, Adham Hijab
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-10-01
Series:Frontiers in Oncology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2023.1255832/full
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author Maayan Geller Hinich
Adham Hijab
Adham Hijab
author_facet Maayan Geller Hinich
Adham Hijab
Adham Hijab
author_sort Maayan Geller Hinich
collection DOAJ
description Alpelisib plus fulvestrant is a valid second or advanced line of treatment for patients with metastatic hormone receptor (HR)-positive, HER2-negative breast cancer who harbor an activating PIK3CA mutation. The well-known side effects of alpelisib are hyperglycemia, rash, and diarrhea. Herein, we report a case of a woman who developed diffuse depigmented macules on the face, arms and legs, three months after initiating alpelisib. Both clinical and histopathological findings were consistent with new-onset vitiligo. To our knowledge, this is the first case described in literature which suggests a causal relationship between alpelisib and irreversible dermatological adverse effect.
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spelling doaj.art-1092b2bf5daa45289db085507df4371d2023-10-30T11:02:41ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2023-10-011310.3389/fonc.2023.12558321255832Acrofacial vitiligo secondary to PI3KCA inhibitor, alpelisib: case reportMaayan Geller Hinich0Adham Hijab1Adham Hijab2Oncology Division, Ziv Medical Centre, Safed, IsraelOncology Division, Ziv Medical Centre, Safed, IsraelRadiotherapy Unit, Ziv Medical Centre, Safed, IsraelAlpelisib plus fulvestrant is a valid second or advanced line of treatment for patients with metastatic hormone receptor (HR)-positive, HER2-negative breast cancer who harbor an activating PIK3CA mutation. The well-known side effects of alpelisib are hyperglycemia, rash, and diarrhea. Herein, we report a case of a woman who developed diffuse depigmented macules on the face, arms and legs, three months after initiating alpelisib. Both clinical and histopathological findings were consistent with new-onset vitiligo. To our knowledge, this is the first case described in literature which suggests a causal relationship between alpelisib and irreversible dermatological adverse effect.https://www.frontiersin.org/articles/10.3389/fonc.2023.1255832/fullvitiligoalpelisibbreast cancerPIK3CAskin adverse effects
spellingShingle Maayan Geller Hinich
Adham Hijab
Adham Hijab
Acrofacial vitiligo secondary to PI3KCA inhibitor, alpelisib: case report
Frontiers in Oncology
vitiligo
alpelisib
breast cancer
PIK3CA
skin adverse effects
title Acrofacial vitiligo secondary to PI3KCA inhibitor, alpelisib: case report
title_full Acrofacial vitiligo secondary to PI3KCA inhibitor, alpelisib: case report
title_fullStr Acrofacial vitiligo secondary to PI3KCA inhibitor, alpelisib: case report
title_full_unstemmed Acrofacial vitiligo secondary to PI3KCA inhibitor, alpelisib: case report
title_short Acrofacial vitiligo secondary to PI3KCA inhibitor, alpelisib: case report
title_sort acrofacial vitiligo secondary to pi3kca inhibitor alpelisib case report
topic vitiligo
alpelisib
breast cancer
PIK3CA
skin adverse effects
url https://www.frontiersin.org/articles/10.3389/fonc.2023.1255832/full
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AT adhamhijab acrofacialvitiligosecondarytopi3kcainhibitoralpelisibcasereport
AT adhamhijab acrofacialvitiligosecondarytopi3kcainhibitoralpelisibcasereport