Skin toxicity after Filgrastim treatment for an Ewing's sarcoma patient.

Introduction: Filgrastim is a granulocyte colony-stimulating factor (GSCF) used in some chemotherapy regimen to prevent febrile neutropenia. Most common reaction of filgrastim are aches and pain including headaches, nausea and skin rash. Case report: We report the case of a patient who developed unu...

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Publicado en:Journal of Oncology Pharmacy Practice Vol. 28; no. 4; pp. 995 - 998
Autores principales: Nefzi, Issad, Yahyaoui, Yosra, Letaief, Feriel, Ghammem, Nour, Gabsi, Azza, Ayadi, Mouna, Mezlini, Amel
Formato: case study pictorial Journal Article
Publicado: Sage Publications Inc. Jun2022
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jun2022
      vid: 28
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      pub: Sage Publications Inc.
      place: Thousand Oaks, California
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        atl: Skin toxicity after Filgrastim treatment for an Ewing's sarcoma patient.
      aug:
        au:
          Nefzi, Issad
          Yahyaoui, Yosra
          Letaief, Feriel
          Ghammem, Nour
          Gabsi, Azza
          Ayadi, Mouna
          Mezlini, Amel
        affil: Department of Medical Oncology, Salah Azaiez Institute, 59075 University of Tunis El Manar, Tunis, Tunisia
      sug:
        subj:
          Sarcoma, Ewing's Diagnosis
          Sarcoma, Ewing's Drug Therapy
          Granulocyte Colony-Stimulating Factor Therapeutic Use
          Granulocyte Colony-Stimulating Factor Adverse Effects
          Skin Pathology
          Skin Diseases, Vesiculobullous Diagnosis
          Male
          Adult
          Chemotherapy, Cancer
          Drug Hypersensitivity
          Biopsy
          Adult: 19-44 years
          Male
      ab: Introduction: Filgrastim is a granulocyte colony-stimulating factor (GSCF) used in some chemotherapy regimen to prevent febrile neutropenia. Most common reaction of filgrastim are aches and pain including headaches, nausea and skin rash. Case report: We report the case of a patient who developed unusual, non-commonly reported adverse toxidermy to filgrastim. At first the eruption was limited to the lower members and genetics organs. Then it slowly spread across the whole body presenting as a polymorphic exanthematous-pustulosis lesions. Management & Outcome: A cutaneous biopsy was done, identifying a toxidermy modified by systemic treatment. A pharmacological study linked the role of filgrastim to these lesions. After switching from filgrastim to lénograstim, his lesions are completely gone and haven't flared up again. Thus, clearly imputing the use of filgrastim. Discussion: The cutaneous reaction that has reported with use of GSCF are sweet syndrome, erythema nodosum, pyoderma nodosum and pyoderma gangrenosum. As far as we know, no acute generalized exanthematous pustulosis due to GSCF has been reported.
      pubtype: Academic Journal
      doctype:
        case study
        pictorial
        Journal Article
      ougenre: Article
    language: English
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