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Nilotinib-induced Keratosis Pilaris Associated with Alopecia Areata and Eyebrow Thinning

机译:尼罗替尼诱发的毛发角化病,伴脱发和眉毛稀疏

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Tyrosine kinase enzymes are an attractive target for anticancer therapies. Tyrosine kinase inhibitors (TKI) are well tolerated; somehow severe systemic side effects are rarely seen during treatment. Toxicities of skin and appendages may lead to poor compliance, psychosocial inconvenience, and drug interruption. Changes of the hair can arise following cures with TKI. Nilotinib, a second-generation TKI, has been responsible for various cutaneous side effects including different clinical presentations of alopecia (scarring and nonscarring forms). This paper reports the case of a 45-year-old male diagnosed with chronic myelogenous leukemia (CML) treated with nilotinib, who presented with a keratosis pilaris (KP)-like eruption, autoresolutive alopecia areata plaque of the wrist and diffuse eyebrow thinning. To date, eight cases of nilotinib-induced KP were reported. However, none of them was associated with alopecia areata. Hence, physicians need to be aware of this new cutaneous side effect and investigating the reason of this phenomenon requires additional studies. Key words: Alopecia areata, chronic myelogenous leukemia, keratosis pilaris, nilotinib
机译:酪氨酸激酶是抗癌治疗的有吸引力的靶标。酪氨酸激酶抑制剂(TKI)耐受性良好;某种程度上,在治疗期间很少见到严重的全身性副作用。皮肤和附件的毒性可能导致依从性差,社会心理不便和药物中断。用TKI治愈后可能会发生头发变化。 Nilotinib是第二代TKI,已引起各种皮肤副作用,包括脱发的不同临床表现(瘢痕形成和非瘢痕形成)。本文报道了一名45岁男性,经尼罗替尼治疗后被诊断患有慢性粒细胞性白血病(CML),该患者出现角化病(KP)样喷发,手腕自分辨性斑秃斑块和弥漫性眉毛稀疏。迄今为止,已报告八例尼罗替尼诱导的KP。但是,它们均与斑秃无关。因此,医生需要意识到这种新的皮肤副作用,并且调查这种现象的原因还需要进一步的研究。关键词:斑秃,慢性粒细胞性白血病,毛发角化病,尼洛替尼

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