Sorafenib induced Hand Foot Skin Rash in FLT3 ITD mutated Acute Myeloid leukemia- A case report and review of literature

Sorafenib is a novel small molecule multiple kinase inhibitor which has been used for metastatic renal cancer, hepatocellular cancer. Sorafenib induced skin rash has been discussed as a side effect in trials in both FLT3 wild type and mutated acute myeloid leukemia (AML) as monotherapy or as combina...

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Main Authors: Jayastu Senapati, Anup J Devasia, Abhijeet Ganapule, Leni George, Auro Viswabandya
Format: Article
Language:English
Published: PAGEPress Publications 2014-02-01
Series:Mediterranean Journal of Hematology and Infectious Diseases
Subjects:
Online Access:http://www.mjhid.org/index.php/mjhid/article/view/1399
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author Jayastu Senapati
Anup J Devasia
Abhijeet Ganapule
Leni George
Auro Viswabandya
author_facet Jayastu Senapati
Anup J Devasia
Abhijeet Ganapule
Leni George
Auro Viswabandya
author_sort Jayastu Senapati
collection DOAJ
description Sorafenib is a novel small molecule multiple kinase inhibitor which has been used for metastatic renal cancer, hepatocellular cancer. Sorafenib induced skin rash has been discussed as a side effect in trials in both FLT3 wild type and mutated acute myeloid leukemia (AML) as monotherapy or as combination with other chemotherapeutic agents . We describe a patient with FLT 3 ITD mutated AML who was started on adjunctive Sorafenib therapy. Skin reactions manifested as NCI Grade III palmoplantar erythrodysesthesia (PPE), requiring drug discontinuation. Several pathogenic mechanisms have been implicated in Sorafenib induced skin reactions, but none has been conclusively proven. While treatment options are varied for early stage skin reactions, drug discontinuation remains the only possible therapy presently for severe grade skin reaction.
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institution OA Journals
issn 2035-3006
language English
publishDate 2014-02-01
publisher PAGEPress Publications
record_format Article
series Mediterranean Journal of Hematology and Infectious Diseases
spelling doaj-art-8be49e90e2c34ed795e23828e73d027d2025-08-20T02:08:35ZengPAGEPress PublicationsMediterranean Journal of Hematology and Infectious Diseases2035-30062014-02-0161e2014016e201401610.4084/mjhid.2014.0161159Sorafenib induced Hand Foot Skin Rash in FLT3 ITD mutated Acute Myeloid leukemia- A case report and review of literatureJayastu Senapati0Anup J Devasia1Abhijeet Ganapule2Leni George3Auro Viswabandya4Department of Clinical Haematology, Christian Medical College and Hospital,VelloreDepartment of Clinical Haematology, Christian Medical College and Hospital VelloreDepartment of Clinical Haematology, Christian Medical College and Hospital,VelloreDepartment of Dermatology, Christian Medical College and Hospital VelloreDepartment of Clinical Haematology, Christian Medical College and Hospital, VelloreSorafenib is a novel small molecule multiple kinase inhibitor which has been used for metastatic renal cancer, hepatocellular cancer. Sorafenib induced skin rash has been discussed as a side effect in trials in both FLT3 wild type and mutated acute myeloid leukemia (AML) as monotherapy or as combination with other chemotherapeutic agents . We describe a patient with FLT 3 ITD mutated AML who was started on adjunctive Sorafenib therapy. Skin reactions manifested as NCI Grade III palmoplantar erythrodysesthesia (PPE), requiring drug discontinuation. Several pathogenic mechanisms have been implicated in Sorafenib induced skin reactions, but none has been conclusively proven. While treatment options are varied for early stage skin reactions, drug discontinuation remains the only possible therapy presently for severe grade skin reaction.http://www.mjhid.org/index.php/mjhid/article/view/1399Sorafenib, Hand Foot Skin Rash,FLT3, Acute Myeloid Leukemia.
spellingShingle Jayastu Senapati
Anup J Devasia
Abhijeet Ganapule
Leni George
Auro Viswabandya
Sorafenib induced Hand Foot Skin Rash in FLT3 ITD mutated Acute Myeloid leukemia- A case report and review of literature
Mediterranean Journal of Hematology and Infectious Diseases
Sorafenib, Hand Foot Skin Rash,
FLT3, Acute Myeloid Leukemia.
title Sorafenib induced Hand Foot Skin Rash in FLT3 ITD mutated Acute Myeloid leukemia- A case report and review of literature
title_full Sorafenib induced Hand Foot Skin Rash in FLT3 ITD mutated Acute Myeloid leukemia- A case report and review of literature
title_fullStr Sorafenib induced Hand Foot Skin Rash in FLT3 ITD mutated Acute Myeloid leukemia- A case report and review of literature
title_full_unstemmed Sorafenib induced Hand Foot Skin Rash in FLT3 ITD mutated Acute Myeloid leukemia- A case report and review of literature
title_short Sorafenib induced Hand Foot Skin Rash in FLT3 ITD mutated Acute Myeloid leukemia- A case report and review of literature
title_sort sorafenib induced hand foot skin rash in flt3 itd mutated acute myeloid leukemia a case report and review of literature
topic Sorafenib, Hand Foot Skin Rash,
FLT3, Acute Myeloid Leukemia.
url http://www.mjhid.org/index.php/mjhid/article/view/1399
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