Paclitaxel-related dermatological problems: Not only alopecia occurs

Objective: Dermatological problems after chemotherapy are often neglected with gynecological oncologists. Since paclitaxel is one of most popular agents for gynecology organ-related cancers, dermatologic change after paclitaxel treatment is seldom reported before. Case report: Two patients with gyne...

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Main Authors: Ming-Hsuan Su, Guan-Yeu Chen, Jun-Hung Lin, Howard Hao Lee, Kai-Cheng Chung, Peng-Hui Wang
Format: Article
Language:English
Published: Elsevier 2019-11-01
Series:Taiwanese Journal of Obstetrics & Gynecology
Online Access:http://www.sciencedirect.com/science/article/pii/S1028455919302335
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author Ming-Hsuan Su
Guan-Yeu Chen
Jun-Hung Lin
Howard Hao Lee
Kai-Cheng Chung
Peng-Hui Wang
author_facet Ming-Hsuan Su
Guan-Yeu Chen
Jun-Hung Lin
Howard Hao Lee
Kai-Cheng Chung
Peng-Hui Wang
author_sort Ming-Hsuan Su
collection DOAJ
description Objective: Dermatological problems after chemotherapy are often neglected with gynecological oncologists. Since paclitaxel is one of most popular agents for gynecology organ-related cancers, dermatologic change after paclitaxel treatment is seldom reported before. Case report: Two patients with gynecological organ malignancy who underwent the postoperative dose-dense weekly schedule of paclitaxel 80 mg/m2 plus carboplatin (area of curve 5) every three weeks had repeat dermatological problems (skull, facial and upper trunk areas) during the treatment. They included dermatitis, eczema, and folliculitis. Topical use of anti-fungal cream and oral anti-histamine agents stopped the disease progression and all had completed their chemotherapy without interruption. Conclusion: Clinicians should be aware of paclitaxel-induced skin toxicities, especially on the skull, face and upper trunk areas to minimize the occurrence of severe morbidity and to provide the better quality of life when cure is our primary priority in the management of gynecological organs-related malignancies. Keywords: Dermatological problems, Dose-dense chemotherapy, Folliculitis, Paclitaxel
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spelling doaj.art-2832c0ef1ada4c61a65e39ad7323b0092022-12-22T00:42:54ZengElsevierTaiwanese Journal of Obstetrics & Gynecology1028-45592019-11-01586877879Paclitaxel-related dermatological problems: Not only alopecia occursMing-Hsuan Su0Guan-Yeu Chen1Jun-Hung Lin2Howard Hao Lee3Kai-Cheng Chung4Peng-Hui Wang5Department of Obstetrics and Gynecology, Taipei Veterans General Hospital, Taipei, Taiwan; Department of Obstetrics and Gynecology, National Yang-Ming University, Taipei, TaiwanDepartment of Obstetrics and Gynecology, Taipei Veterans General Hospital, Taipei, Taiwan; Department of Obstetrics and Gynecology, National Yang-Ming University, Taipei, TaiwanDepartment of Obstetrics and Gynecology, Taipei Veterans General Hospital, Taipei, Taiwan; Department of Obstetrics and Gynecology, National Yang-Ming University, Taipei, TaiwanDepartment of Obstetrics and Gynecology, Taipei Veterans General Hospital, Taipei, Taiwan; Department of Obstetrics and Gynecology, National Yang-Ming University, Taipei, TaiwanDepartment of Obstetrics and Gynecology, Taipei Veterans General Hospital, Taipei, Taiwan; Department of Obstetrics and Gynecology, National Yang-Ming University, Taipei, TaiwanDepartment of Obstetrics and Gynecology, Taipei Veterans General Hospital, Taipei, Taiwan; Department of Obstetrics and Gynecology, National Yang-Ming University, Taipei, Taiwan; Institute of Clinical Medicine, National Yang-Ming University, Taipei, Taiwan; Department of Medical Research, China Medical University Hospital, Taichung, Taiwan; Female Cancer Foundation, Taipei, Taiwan; Corresponding author. Department of Obstetrics and Gynecology, Taipei Veterans General Hospital, National Yang-Ming University, 201 Section 2, Shih-Pai Road, Taipei 11217, Taiwan. Fax: +886 255702788.Objective: Dermatological problems after chemotherapy are often neglected with gynecological oncologists. Since paclitaxel is one of most popular agents for gynecology organ-related cancers, dermatologic change after paclitaxel treatment is seldom reported before. Case report: Two patients with gynecological organ malignancy who underwent the postoperative dose-dense weekly schedule of paclitaxel 80 mg/m2 plus carboplatin (area of curve 5) every three weeks had repeat dermatological problems (skull, facial and upper trunk areas) during the treatment. They included dermatitis, eczema, and folliculitis. Topical use of anti-fungal cream and oral anti-histamine agents stopped the disease progression and all had completed their chemotherapy without interruption. Conclusion: Clinicians should be aware of paclitaxel-induced skin toxicities, especially on the skull, face and upper trunk areas to minimize the occurrence of severe morbidity and to provide the better quality of life when cure is our primary priority in the management of gynecological organs-related malignancies. Keywords: Dermatological problems, Dose-dense chemotherapy, Folliculitis, Paclitaxelhttp://www.sciencedirect.com/science/article/pii/S1028455919302335
spellingShingle Ming-Hsuan Su
Guan-Yeu Chen
Jun-Hung Lin
Howard Hao Lee
Kai-Cheng Chung
Peng-Hui Wang
Paclitaxel-related dermatological problems: Not only alopecia occurs
Taiwanese Journal of Obstetrics & Gynecology
title Paclitaxel-related dermatological problems: Not only alopecia occurs
title_full Paclitaxel-related dermatological problems: Not only alopecia occurs
title_fullStr Paclitaxel-related dermatological problems: Not only alopecia occurs
title_full_unstemmed Paclitaxel-related dermatological problems: Not only alopecia occurs
title_short Paclitaxel-related dermatological problems: Not only alopecia occurs
title_sort paclitaxel related dermatological problems not only alopecia occurs
url http://www.sciencedirect.com/science/article/pii/S1028455919302335
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