Pazopanib-Induced Cutaneous Leukocytoclastic Vasculitis: An Exclusion Diagnosis of a Multidisciplinary Approach

In phase II/III trials, cutaneous side effects of pazopanib were reported in less than 20% of patients, with only 1–3% being grade 3/4. We present a case of a 66-year-old man with a previous history of left nephrectomy for a stage II clear cell renal carcinoma. Approximately 18 months later, recurre...

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Հիմնական հեղինակներ: Diogo Alpuim Costa, Susana Baptista de Almeida, Pedro Coelho Barata, António Quintela, Pedro Cabral, Ana Afonso, João Maia Silva
Ձևաչափ: Հոդված
Լեզու:English
Հրապարակվել է: Karger Publishers 2017-11-01
Շարք:Case Reports in Oncology
Խորագրեր:
Առցանց հասանելիություն:https://www.karger.com/Article/FullText/484402
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author Diogo Alpuim Costa
Susana Baptista de Almeida
Pedro Coelho Barata
António Quintela
Pedro Cabral
Ana Afonso
João Maia Silva
author_facet Diogo Alpuim Costa
Susana Baptista de Almeida
Pedro Coelho Barata
António Quintela
Pedro Cabral
Ana Afonso
João Maia Silva
author_sort Diogo Alpuim Costa
collection DOAJ
description In phase II/III trials, cutaneous side effects of pazopanib were reported in less than 20% of patients, with only 1–3% being grade 3/4. We present a case of a 66-year-old man with a previous history of left nephrectomy for a stage II clear cell renal carcinoma. Approximately 18 months later, recurrent disease in the lungs, mediastinum, and left psoas and bulky abdominal/pelvic nodal metastasis were documented. He was initially treated with pazopanib 800 mg q.d. and 1 week after starting this therapy, the patient presented with palpable purpura on his ankles. These lesions regressed within 2 weeks off pazopanib, but had recurred 4 weeks after he resumed medication at 400 mg q.d. Biopsy of the lesions revealed leukocytoclastic vasculitis. Despite tumour response to therapy, pazopanib was discontinued with total resolution of this skin toxicity within 2 weeks of his cutaneous toxicity. To the best of our knowledge, we report a rare yet significant cutaneous adverse reaction to pazopanib.
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spelling doaj.art-7e8e5b7948a04fb8b32a4c2ce8a76ed12022-12-22T01:55:23ZengKarger PublishersCase Reports in Oncology1662-65752017-11-011031041104910.1159/000484402484402Pazopanib-Induced Cutaneous Leukocytoclastic Vasculitis: An Exclusion Diagnosis of a Multidisciplinary ApproachDiogo Alpuim CostaSusana Baptista de AlmeidaPedro Coelho BarataAntónio QuintelaPedro CabralAna AfonsoJoão Maia SilvaIn phase II/III trials, cutaneous side effects of pazopanib were reported in less than 20% of patients, with only 1–3% being grade 3/4. We present a case of a 66-year-old man with a previous history of left nephrectomy for a stage II clear cell renal carcinoma. Approximately 18 months later, recurrent disease in the lungs, mediastinum, and left psoas and bulky abdominal/pelvic nodal metastasis were documented. He was initially treated with pazopanib 800 mg q.d. and 1 week after starting this therapy, the patient presented with palpable purpura on his ankles. These lesions regressed within 2 weeks off pazopanib, but had recurred 4 weeks after he resumed medication at 400 mg q.d. Biopsy of the lesions revealed leukocytoclastic vasculitis. Despite tumour response to therapy, pazopanib was discontinued with total resolution of this skin toxicity within 2 weeks of his cutaneous toxicity. To the best of our knowledge, we report a rare yet significant cutaneous adverse reaction to pazopanib.https://www.karger.com/Article/FullText/484402Renal cell carcinomaLeukocytoclastic vasculitisPazopanib
spellingShingle Diogo Alpuim Costa
Susana Baptista de Almeida
Pedro Coelho Barata
António Quintela
Pedro Cabral
Ana Afonso
João Maia Silva
Pazopanib-Induced Cutaneous Leukocytoclastic Vasculitis: An Exclusion Diagnosis of a Multidisciplinary Approach
Case Reports in Oncology
Renal cell carcinoma
Leukocytoclastic vasculitis
Pazopanib
title Pazopanib-Induced Cutaneous Leukocytoclastic Vasculitis: An Exclusion Diagnosis of a Multidisciplinary Approach
title_full Pazopanib-Induced Cutaneous Leukocytoclastic Vasculitis: An Exclusion Diagnosis of a Multidisciplinary Approach
title_fullStr Pazopanib-Induced Cutaneous Leukocytoclastic Vasculitis: An Exclusion Diagnosis of a Multidisciplinary Approach
title_full_unstemmed Pazopanib-Induced Cutaneous Leukocytoclastic Vasculitis: An Exclusion Diagnosis of a Multidisciplinary Approach
title_short Pazopanib-Induced Cutaneous Leukocytoclastic Vasculitis: An Exclusion Diagnosis of a Multidisciplinary Approach
title_sort pazopanib induced cutaneous leukocytoclastic vasculitis an exclusion diagnosis of a multidisciplinary approach
topic Renal cell carcinoma
Leukocytoclastic vasculitis
Pazopanib
url https://www.karger.com/Article/FullText/484402
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