Temozolomide-associated blepharoconjunctivitis: a case report

Abstract Background Temozolomide (TMZ) is an effective oral alkylating agent used in treating glioblastoma multiforme (GBM) and high-grade gliomas. It works by introducing methyl groups into DNA, inhibiting cell division. A case of blepharoconjunctivitis linked to the administration of TMZ is detail...

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Main Authors: Tom Kornhauser, John D Pemberton
Format: Article
Language:English
Published: BMC 2024-04-01
Series:BMC Ophthalmology
Subjects:
Online Access:https://doi.org/10.1186/s12886-024-03417-6
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author Tom Kornhauser
John D Pemberton
author_facet Tom Kornhauser
John D Pemberton
author_sort Tom Kornhauser
collection DOAJ
description Abstract Background Temozolomide (TMZ) is an effective oral alkylating agent used in treating glioblastoma multiforme (GBM) and high-grade gliomas. It works by introducing methyl groups into DNA, inhibiting cell division. A case of blepharoconjunctivitis linked to the administration of TMZ is detailed in this report. Case presentation We present a case of a 58-year-old African-American man diagnosed with GBM. Following adjuvant TMZ treatment, he developed blepharoconjunctivitis, characterized by eyelid and conjunctival inflammation. Symptoms included eyelid swelling, crusting, and conjunctival discharge, which were promptly resolved with topical steroid cream and eye drops. Conclusions Reports specifically linking TMZ to blepharoconjunctivitis are limited. The exact mechanism remains unclear but may involve inflammation extending from blepharitis to the conjunctiva. Healthcare providers must recognize and manage ophthalmic complications promptly. This case report highlights blepharoconjunctivitis associated with TMZ use in a GBM patient. While TMZ is an effective treatment, ophthalmic side effects can occur.
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spelling doaj.art-d6ae0f8af0e84aae8ffe5785d5e354042024-04-14T11:10:32ZengBMCBMC Ophthalmology1471-24152024-04-012411510.1186/s12886-024-03417-6Temozolomide-associated blepharoconjunctivitis: a case reportTom Kornhauser0John D Pemberton1Jones Eye Institute, University of Arkansas for Medical SciencesJones Eye Institute, University of Arkansas for Medical SciencesAbstract Background Temozolomide (TMZ) is an effective oral alkylating agent used in treating glioblastoma multiforme (GBM) and high-grade gliomas. It works by introducing methyl groups into DNA, inhibiting cell division. A case of blepharoconjunctivitis linked to the administration of TMZ is detailed in this report. Case presentation We present a case of a 58-year-old African-American man diagnosed with GBM. Following adjuvant TMZ treatment, he developed blepharoconjunctivitis, characterized by eyelid and conjunctival inflammation. Symptoms included eyelid swelling, crusting, and conjunctival discharge, which were promptly resolved with topical steroid cream and eye drops. Conclusions Reports specifically linking TMZ to blepharoconjunctivitis are limited. The exact mechanism remains unclear but may involve inflammation extending from blepharitis to the conjunctiva. Healthcare providers must recognize and manage ophthalmic complications promptly. This case report highlights blepharoconjunctivitis associated with TMZ use in a GBM patient. While TMZ is an effective treatment, ophthalmic side effects can occur.https://doi.org/10.1186/s12886-024-03417-6TemozolomideGlioblastoma multiformeBlepharoconjunctivitisBlepharitisCase report
spellingShingle Tom Kornhauser
John D Pemberton
Temozolomide-associated blepharoconjunctivitis: a case report
BMC Ophthalmology
Temozolomide
Glioblastoma multiforme
Blepharoconjunctivitis
Blepharitis
Case report
title Temozolomide-associated blepharoconjunctivitis: a case report
title_full Temozolomide-associated blepharoconjunctivitis: a case report
title_fullStr Temozolomide-associated blepharoconjunctivitis: a case report
title_full_unstemmed Temozolomide-associated blepharoconjunctivitis: a case report
title_short Temozolomide-associated blepharoconjunctivitis: a case report
title_sort temozolomide associated blepharoconjunctivitis a case report
topic Temozolomide
Glioblastoma multiforme
Blepharoconjunctivitis
Blepharitis
Case report
url https://doi.org/10.1186/s12886-024-03417-6
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