Palmar plantar erythrodysesthesia causes

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Several different Chemotherapeutic agents have been associated with acral erythema[1]

Causes

Commonly associated chemotherapeutic agents are listed below:

  • Most frequently associated with Doxorubicin (Pegylated liposomal Doxorubicin), 5-Flurouracil, and Cytarabine[2].
  • Methotrexate - even low dose used to treat ALL[3]
  • Mitotane[4]
  • PLD, Docetaxel, Capecitabine, vinorelbine, gemcitabine and Sorafenib[5]

Genetics

No genetic association has been found as of yet as the data on this condition is limited.

References

  1. Baack BR, Burgdorf WH (1991). "Chemotherapy-induced acral erythema". J Am Acad Dermatol. 24 (3): 457–61. PMID 2061446.
  2. Webster-Gandy JD, How C, Harrold K (2007). "Palmar-plantar erythrodysesthesia (PPE): a literature review with commentary on experience in a cancer centre". Eur J Oncol Nurs. 11 (3): 238–46. doi:10.1016/j.ejon.2006.10.004. PMID 17350337.
  3. Wysocki M, Nowaczyk-Michalak A, Pilecki O, Kurylak A, Balcar-Boroń A, Trybuś L (1992). "[Burgdorf's reaction (painful acral erythema) in patients with acute lymphoblastic leukemia following medium-dose methotrexate therapy]". Wiad Lek. 45 (11–12): 462–4. PMID 1441532.
  4. Zuehlke RL (1974). "Erythematous eruption of the palms and soles associated with mitotane therapy". Dermatologica. 148 (2): 90–2. PMID 4276191.
  5. Farr KP, Safwat A (2011). "Palmar-plantar erythrodysesthesia associated with chemotherapy and its treatment". Case Rep Oncol. 4 (1): 229–35. doi:10.1159/000327767. PMC 3085037. PMID 21537373.