Bleomycin-induced flagellate-like skin pigmentation in a 15-year-old girl: a case report and review

We present a detailed report of a case of flagellar-like skin pigmentation observed in a 15-year-old female patient diagnosed with ovarian yolk sac tumor following administration of a chemotherapy regimen containing bleomycin. After three cycles of chemotherapy, the patient exhibited characteristic...

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Main Authors: Xinrong Chen, Chuangjie Zheng, Ke Wang, Linzhu Zhai
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-08-01
Series:Frontiers in Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2025.1610203/full
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author Xinrong Chen
Chuangjie Zheng
Ke Wang
Linzhu Zhai
Linzhu Zhai
author_facet Xinrong Chen
Chuangjie Zheng
Ke Wang
Linzhu Zhai
Linzhu Zhai
author_sort Xinrong Chen
collection DOAJ
description We present a detailed report of a case of flagellar-like skin pigmentation observed in a 15-year-old female patient diagnosed with ovarian yolk sac tumor following administration of a chemotherapy regimen containing bleomycin. After three cycles of chemotherapy, the patient exhibited characteristic painless, non-pruritic linear hyperpigmentation on her trunk and back. This case underscores the significance of paying attention to bleomycin-associated dermal toxicity, emphasizing the need for its early detection and management to alleviate the patient’s psychological and physical distress. Our research indicates that additional studies are necessary to comprehensively understand the underlying mechanisms of flagellar-like skin pigmentation and to identify effective prevention and treatment approaches.
format Article
id doaj-art-552b714317814ce7970d6d5afa535633
institution Kabale University
issn 2296-858X
language English
publishDate 2025-08-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Medicine
spelling doaj-art-552b714317814ce7970d6d5afa5356332025-08-20T03:39:10ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2025-08-011210.3389/fmed.2025.16102031610203Bleomycin-induced flagellate-like skin pigmentation in a 15-year-old girl: a case report and reviewXinrong Chen0Chuangjie Zheng1Ke Wang2Linzhu Zhai3Linzhu Zhai4The First Clinical Medical College of Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, ChinaThe First Clinical Medical College of Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, ChinaThe First Clinical Medical College of Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, ChinaThe First Clinical Medical College of Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, ChinaCancer Center, The First Affiliated Hospital of Guangzhou University of Chinese, Guangzhou, Guangdong, ChinaWe present a detailed report of a case of flagellar-like skin pigmentation observed in a 15-year-old female patient diagnosed with ovarian yolk sac tumor following administration of a chemotherapy regimen containing bleomycin. After three cycles of chemotherapy, the patient exhibited characteristic painless, non-pruritic linear hyperpigmentation on her trunk and back. This case underscores the significance of paying attention to bleomycin-associated dermal toxicity, emphasizing the need for its early detection and management to alleviate the patient’s psychological and physical distress. Our research indicates that additional studies are necessary to comprehensively understand the underlying mechanisms of flagellar-like skin pigmentation and to identify effective prevention and treatment approaches.https://www.frontiersin.org/articles/10.3389/fmed.2025.1610203/fullbleomycinflagellate hyperpigmentationdermal toxicityovarian yolk sac tumoradverse reactions
spellingShingle Xinrong Chen
Chuangjie Zheng
Ke Wang
Linzhu Zhai
Linzhu Zhai
Bleomycin-induced flagellate-like skin pigmentation in a 15-year-old girl: a case report and review
Frontiers in Medicine
bleomycin
flagellate hyperpigmentation
dermal toxicity
ovarian yolk sac tumor
adverse reactions
title Bleomycin-induced flagellate-like skin pigmentation in a 15-year-old girl: a case report and review
title_full Bleomycin-induced flagellate-like skin pigmentation in a 15-year-old girl: a case report and review
title_fullStr Bleomycin-induced flagellate-like skin pigmentation in a 15-year-old girl: a case report and review
title_full_unstemmed Bleomycin-induced flagellate-like skin pigmentation in a 15-year-old girl: a case report and review
title_short Bleomycin-induced flagellate-like skin pigmentation in a 15-year-old girl: a case report and review
title_sort bleomycin induced flagellate like skin pigmentation in a 15 year old girl a case report and review
topic bleomycin
flagellate hyperpigmentation
dermal toxicity
ovarian yolk sac tumor
adverse reactions
url https://www.frontiersin.org/articles/10.3389/fmed.2025.1610203/full
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AT chuangjiezheng bleomycininducedflagellatelikeskinpigmentationina15yearoldgirlacasereportandreview
AT kewang bleomycininducedflagellatelikeskinpigmentationina15yearoldgirlacasereportandreview
AT linzhuzhai bleomycininducedflagellatelikeskinpigmentationina15yearoldgirlacasereportandreview
AT linzhuzhai bleomycininducedflagellatelikeskinpigmentationina15yearoldgirlacasereportandreview