Updates on Histiocytic Disorders

被引:82
作者
Vaiselbuh, Sarah R. [1 ]
Bryceson, Yenan T. [2 ]
Allen, Carl E. [3 ]
Whitlock, James A. [4 ,5 ]
Abla, Oussama [4 ]
机构
[1] Staten Isl Univ Hosp, Childrens Canc Ctr, Staten Isl, NY 10305 USA
[2] Karolinska Inst, Ctr Infect Med, Stockholm, Sweden
[3] Baylor Coll Med, Dept Pediat, Texas Childrens Canc Ctr, Houston, TX 77030 USA
[4] Hosp Sick Children, Garron Family Canc Ctr, Toronto, ON M5G 1X8, Canada
[5] Hosp Sick Children, Dept Hematol Oncol, Toronto, ON M5G 1X8, Canada
关键词
allogeneic BMT; voriconazole; phototoxicity; ROSAI-DORFMAN-DISEASE; LANGERHANS-CELL HISTIOCYTOSIS; FAMILIAL HEMOPHAGOCYTIC LYMPHOHISTIOCYTOSIS; ERDHEIM-CHESTER DISEASE; SINUS HISTIOCYTOSIS; MASSIVE LYMPHADENOPATHY; DENDRITIC CELLS; SALVAGE THERAPY; MUTATIONS; VEMURAFENIB;
D O I
10.1002/pbc.25017
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
We investigated the incidence of phototoxic skin reactions in pediatric BMT recipients treated with voriconazole. Nine out of 40 patients (22.5%), all Caucasian, developed skin lesions in sun-exposed distributions. Dermatologic findings included sunburn-like erythema, pseudo-porphyria, linear papulovesicular lesions, severe erosive cheilitis, dermatoheliosis and lentigines. Patients were treated with sun avoidance, high-potency sunscreens, and topical steroids with significant improvement in all cases. Prolonged voriconazole use requires close monitoring for chronic skin toxicities. Long-term risks including the risk of skin cancer need to be investigated. Pediatr Blood Cancer 2014;61:1325-1328. (c) 2014 Wiley Periodicals, Inc.
引用
收藏
页码:1329 / 1335
页数:7
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