Lapatinib-induced acute generalized exanthematous pustulosis

Acute generalized exanthematous pustulosis (AGEP) is a pustular eruption, mainly drug induced often accompanied by fever and neutrophilic leukocytosis presenting as scarlatiniform erythema over the flexures evolving into numerous tiny non follicular pustules. We present a case report of a 56-year ol...

Full description

Bibliographic Details
Main Authors: Chembolli Lakshmi, Suma Pillai, C R Srinivas
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2010-01-01
Series:Indian Dermatology Online Journal
Subjects:
Online Access:http://www.idoj.in/article.asp?issn=2229-5178;year=2010;volume=1;issue=1;spage=14;epage=17;aulast=Lakshmi
_version_ 1818855544925978624
author Chembolli Lakshmi
Suma Pillai
C R Srinivas
author_facet Chembolli Lakshmi
Suma Pillai
C R Srinivas
author_sort Chembolli Lakshmi
collection DOAJ
description Acute generalized exanthematous pustulosis (AGEP) is a pustular eruption, mainly drug induced often accompanied by fever and neutrophilic leukocytosis presenting as scarlatiniform erythema over the flexures evolving into numerous tiny non follicular pustules. We present a case report of a 56-year old woman, who had undergone mastectomy, treated with lapatinib for metastatic disease, and who presented with multiple erythematous papules and plaques with peripheral pustules. She also developed painful pyogenic granuloma-like lesions over the pulp of toe and over the proximal nail folds.All the lesions subsided following withdrawal of lapatinib. Although AGEP has been reported with imatinib (a multikinase inhibitor), there have been no reports of serious reactions with lapatinib, an EGFR inhibitor. This case could represent the first case report of AGEP to the EGFR inhibitor, lapatinib.
first_indexed 2024-12-19T08:10:18Z
format Article
id doaj.art-8974e3cce9d94429b843c2d9425b24de
institution Directory Open Access Journal
issn 2229-5178
language English
last_indexed 2024-12-19T08:10:18Z
publishDate 2010-01-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Indian Dermatology Online Journal
spelling doaj.art-8974e3cce9d94429b843c2d9425b24de2022-12-21T20:29:40ZengWolters Kluwer Medknow PublicationsIndian Dermatology Online Journal2229-51782010-01-0111141710.4103/2229-5178.73251Lapatinib-induced acute generalized exanthematous pustulosisChembolli LakshmiSuma PillaiC R SrinivasAcute generalized exanthematous pustulosis (AGEP) is a pustular eruption, mainly drug induced often accompanied by fever and neutrophilic leukocytosis presenting as scarlatiniform erythema over the flexures evolving into numerous tiny non follicular pustules. We present a case report of a 56-year old woman, who had undergone mastectomy, treated with lapatinib for metastatic disease, and who presented with multiple erythematous papules and plaques with peripheral pustules. She also developed painful pyogenic granuloma-like lesions over the pulp of toe and over the proximal nail folds.All the lesions subsided following withdrawal of lapatinib. Although AGEP has been reported with imatinib (a multikinase inhibitor), there have been no reports of serious reactions with lapatinib, an EGFR inhibitor. This case could represent the first case report of AGEP to the EGFR inhibitor, lapatinib.http://www.idoj.in/article.asp?issn=2229-5178;year=2010;volume=1;issue=1;spage=14;epage=17;aulast=LakshmiLapatinibacute generalized exanthematous pustulosisepidermal growth factor receptor inhibitorpyogenic granuloma-like lesion
spellingShingle Chembolli Lakshmi
Suma Pillai
C R Srinivas
Lapatinib-induced acute generalized exanthematous pustulosis
Indian Dermatology Online Journal
Lapatinib
acute generalized exanthematous pustulosis
epidermal growth factor receptor inhibitor
pyogenic granuloma-like lesion
title Lapatinib-induced acute generalized exanthematous pustulosis
title_full Lapatinib-induced acute generalized exanthematous pustulosis
title_fullStr Lapatinib-induced acute generalized exanthematous pustulosis
title_full_unstemmed Lapatinib-induced acute generalized exanthematous pustulosis
title_short Lapatinib-induced acute generalized exanthematous pustulosis
title_sort lapatinib induced acute generalized exanthematous pustulosis
topic Lapatinib
acute generalized exanthematous pustulosis
epidermal growth factor receptor inhibitor
pyogenic granuloma-like lesion
url http://www.idoj.in/article.asp?issn=2229-5178;year=2010;volume=1;issue=1;spage=14;epage=17;aulast=Lakshmi
work_keys_str_mv AT chembollilakshmi lapatinibinducedacutegeneralizedexanthematouspustulosis
AT sumapillai lapatinibinducedacutegeneralizedexanthematouspustulosis
AT crsrinivas lapatinibinducedacutegeneralizedexanthematouspustulosis