Stevens-Johnson Syndrome Caused by Enzalutamide: A Case Report and Literature Review

ObjectiveEnzalutamide is the most frequently prescribed compound for treating metastatic castration-resistant prostate cancer (mCRPC). Common adverse drug events of enzalutamide are febrile neutropenia, hot flashes, hypertension, and fatigue.MethodsWe present a case of a patient with mCRPC who recei...

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Main Authors: Min Deng, Huirong Chai, Meng Yang, Xueman Wei, Wenjun Zhang, Xuebin Wang, Juanjuan Li, Zhuo Wang, Haitao Chen
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-11-01
Series:Frontiers in Oncology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2021.736975/full
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author Min Deng
Min Deng
Huirong Chai
Meng Yang
Xueman Wei
Wenjun Zhang
Xuebin Wang
Juanjuan Li
Zhuo Wang
Zhuo Wang
Haitao Chen
author_facet Min Deng
Min Deng
Huirong Chai
Meng Yang
Xueman Wei
Wenjun Zhang
Xuebin Wang
Juanjuan Li
Zhuo Wang
Zhuo Wang
Haitao Chen
author_sort Min Deng
collection DOAJ
description ObjectiveEnzalutamide is the most frequently prescribed compound for treating metastatic castration-resistant prostate cancer (mCRPC). Common adverse drug events of enzalutamide are febrile neutropenia, hot flashes, hypertension, and fatigue.MethodsWe present a case of a patient with mCRPC who received enzalutamide and developed Stevens-Johnson syndrome (SJS). The culprit drug was confirmed using the Naranjo Adverse Drug Reaction Probability Scale. Clinical characteristics and management principles were analyzed in combination with literature reports.ResultsSJS occurred within two weeks of enzalutamide therapy. Supportive care such as steroid treatment led to a complete resolution of skin lesions and improved clinical symptoms after three weeks.ConclusionMost cutaneous adverse events occur early during enzalutamide therapy, and close observation should be given within two weeks of starting treatment.
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spelling doaj.art-8f697cc520de4b24ac690fc2807604382022-12-21T23:08:20ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2021-11-011110.3389/fonc.2021.736975736975Stevens-Johnson Syndrome Caused by Enzalutamide: A Case Report and Literature ReviewMin Deng0Min Deng1Huirong Chai2Meng Yang3Xueman Wei4Wenjun Zhang5Xuebin Wang6Juanjuan Li7Zhuo Wang8Zhuo Wang9Haitao Chen10College of life sciences and Biopharmaceuticals, Shenyang Pharmaceutical University, Shenyang, ChinaDepartment of Pharmacy, Shanghai Changhai Hospital, Naval Medical University, Shanghai, ChinaDepartment of Geriatrics, Shanghai Changhai Hospital, Naval Medical University, Shanghai, ChinaDepartment of Geriatrics, Shanghai Changhai Hospital, Naval Medical University, Shanghai, ChinaDepartment of Geriatrics, Shanghai Changhai Hospital, Naval Medical University, Shanghai, ChinaDepartment of Geriatrics, Shanghai Changhai Hospital, Naval Medical University, Shanghai, ChinaDepartment of Pharmacy, Shanghai Changhai Hospital, Naval Medical University, Shanghai, ChinaDepartment of Pharmacy, Shanghai Changhai Hospital, Naval Medical University, Shanghai, ChinaCollege of life sciences and Biopharmaceuticals, Shenyang Pharmaceutical University, Shenyang, ChinaDepartment of Pharmacy, Shanghai Changhai Hospital, Naval Medical University, Shanghai, ChinaDepartment of Geriatrics, Shanghai Changhai Hospital, Naval Medical University, Shanghai, ChinaObjectiveEnzalutamide is the most frequently prescribed compound for treating metastatic castration-resistant prostate cancer (mCRPC). Common adverse drug events of enzalutamide are febrile neutropenia, hot flashes, hypertension, and fatigue.MethodsWe present a case of a patient with mCRPC who received enzalutamide and developed Stevens-Johnson syndrome (SJS). The culprit drug was confirmed using the Naranjo Adverse Drug Reaction Probability Scale. Clinical characteristics and management principles were analyzed in combination with literature reports.ResultsSJS occurred within two weeks of enzalutamide therapy. Supportive care such as steroid treatment led to a complete resolution of skin lesions and improved clinical symptoms after three weeks.ConclusionMost cutaneous adverse events occur early during enzalutamide therapy, and close observation should be given within two weeks of starting treatment.https://www.frontiersin.org/articles/10.3389/fonc.2021.736975/fullenzalutamideStevens-Johnson syndromedrug eruptioncutaneous adverse eventsprostate cancer
spellingShingle Min Deng
Min Deng
Huirong Chai
Meng Yang
Xueman Wei
Wenjun Zhang
Xuebin Wang
Juanjuan Li
Zhuo Wang
Zhuo Wang
Haitao Chen
Stevens-Johnson Syndrome Caused by Enzalutamide: A Case Report and Literature Review
Frontiers in Oncology
enzalutamide
Stevens-Johnson syndrome
drug eruption
cutaneous adverse events
prostate cancer
title Stevens-Johnson Syndrome Caused by Enzalutamide: A Case Report and Literature Review
title_full Stevens-Johnson Syndrome Caused by Enzalutamide: A Case Report and Literature Review
title_fullStr Stevens-Johnson Syndrome Caused by Enzalutamide: A Case Report and Literature Review
title_full_unstemmed Stevens-Johnson Syndrome Caused by Enzalutamide: A Case Report and Literature Review
title_short Stevens-Johnson Syndrome Caused by Enzalutamide: A Case Report and Literature Review
title_sort stevens johnson syndrome caused by enzalutamide a case report and literature review
topic enzalutamide
Stevens-Johnson syndrome
drug eruption
cutaneous adverse events
prostate cancer
url https://www.frontiersin.org/articles/10.3389/fonc.2021.736975/full
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