Diffuse Hypopigmentation Followed by Hyperpigmentation in an African American Woman with Hemangiopericytoma Treated with Dasatinib

Dasatinib is a second-generation multi-target tyrosine kinase inhibitor (TKI) that has activity against many imatinib-resistant BCR-ABL mutant forms, Src, and c-Kit tyrosine kinases. While skin hypopigmentation is a well recognized adverse effect of first generation TKIs; it has rarely been report...

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Main Authors: Karim Boudadi, Rashmi Chugh
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2014-11-01
Series:Journal of Clinical and Diagnostic Research
Subjects:
Online Access:https://jcdr.net/articles/PDF/5160/8055_CE(Ra)_F(Sh)_PF1(AJAK)_PFA(Sh).pdf
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author Karim Boudadi
Rashmi Chugh
author_facet Karim Boudadi
Rashmi Chugh
author_sort Karim Boudadi
collection DOAJ
description Dasatinib is a second-generation multi-target tyrosine kinase inhibitor (TKI) that has activity against many imatinib-resistant BCR-ABL mutant forms, Src, and c-Kit tyrosine kinases. While skin hypopigmentation is a well recognized adverse effect of first generation TKIs; it has rarely been reported with dasatinib. We report a unique case of diffuse cutaneous hypopigmentation induced by dasatinib followed by hyperpigmentation occurring in the same patient. A 52-year-old African American female with a history of metastatic hemangiopericytoma was initiated on dasatinib as part of a clinical trial. After 2 months of treatment, she developed generalized skin hypopigmentation. Within 1 month of discontinuing the drug, the patient’s skin pigmentation returned to normal. However, she then developed diffuse skin hyperpigmentation over the next couple of months. The hyperpigmentation was self-limited, and eventually resolved after several months.
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spelling doaj.art-2616d01c43214782a7ddcce5d184f3bd2022-12-21T20:41:03ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2014-11-01811QD01QD0210.7860/JCDR/2014/8055.5160Diffuse Hypopigmentation Followed by Hyperpigmentation in an African American Woman with Hemangiopericytoma Treated with DasatinibKarim Boudadi0Rashmi Chugh1Clinical Lecturer, Division of General Medicine, Department of Internal Medicine, University of Michigan Health System, Ann Arbor, MI, USA.Assistant Professor, Division of Hematology and Oncology, Department of Internal Medicine, University of Michigan Health System, Ann Arbor, MI, USA.Dasatinib is a second-generation multi-target tyrosine kinase inhibitor (TKI) that has activity against many imatinib-resistant BCR-ABL mutant forms, Src, and c-Kit tyrosine kinases. While skin hypopigmentation is a well recognized adverse effect of first generation TKIs; it has rarely been reported with dasatinib. We report a unique case of diffuse cutaneous hypopigmentation induced by dasatinib followed by hyperpigmentation occurring in the same patient. A 52-year-old African American female with a history of metastatic hemangiopericytoma was initiated on dasatinib as part of a clinical trial. After 2 months of treatment, she developed generalized skin hypopigmentation. Within 1 month of discontinuing the drug, the patient’s skin pigmentation returned to normal. However, she then developed diffuse skin hyperpigmentation over the next couple of months. The hyperpigmentation was self-limited, and eventually resolved after several months.https://jcdr.net/articles/PDF/5160/8055_CE(Ra)_F(Sh)_PF1(AJAK)_PFA(Sh).pdfsarcomaskin pigmentationtyrosine kinase inhibitor (tki)
spellingShingle Karim Boudadi
Rashmi Chugh
Diffuse Hypopigmentation Followed by Hyperpigmentation in an African American Woman with Hemangiopericytoma Treated with Dasatinib
Journal of Clinical and Diagnostic Research
sarcoma
skin pigmentation
tyrosine kinase inhibitor (tki)
title Diffuse Hypopigmentation Followed by Hyperpigmentation in an African American Woman with Hemangiopericytoma Treated with Dasatinib
title_full Diffuse Hypopigmentation Followed by Hyperpigmentation in an African American Woman with Hemangiopericytoma Treated with Dasatinib
title_fullStr Diffuse Hypopigmentation Followed by Hyperpigmentation in an African American Woman with Hemangiopericytoma Treated with Dasatinib
title_full_unstemmed Diffuse Hypopigmentation Followed by Hyperpigmentation in an African American Woman with Hemangiopericytoma Treated with Dasatinib
title_short Diffuse Hypopigmentation Followed by Hyperpigmentation in an African American Woman with Hemangiopericytoma Treated with Dasatinib
title_sort diffuse hypopigmentation followed by hyperpigmentation in an african american woman with hemangiopericytoma treated with dasatinib
topic sarcoma
skin pigmentation
tyrosine kinase inhibitor (tki)
url https://jcdr.net/articles/PDF/5160/8055_CE(Ra)_F(Sh)_PF1(AJAK)_PFA(Sh).pdf
work_keys_str_mv AT karimboudadi diffusehypopigmentationfollowedbyhyperpigmentationinanafricanamericanwomanwithhemangiopericytomatreatedwithdasatinib
AT rashmichugh diffusehypopigmentationfollowedbyhyperpigmentationinanafricanamericanwomanwithhemangiopericytomatreatedwithdasatinib