Wang S, Li T, Wang Y, Wang M, Liu Y, Zhang X, Zhang L. 5-Fluorouracil and actinomycin D lead to erythema multiforme drug eruption in chemotherapy of invasive mole: Case report and literature review.
Medicine (Baltimore) 2022;
101:e31678. [PMID:
36451432 PMCID:
PMC9704884 DOI:
10.1097/md.0000000000031678]
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Abstract
RATIONALE
5-Fluorouracil (5-FU) and actinomycin D (ActD) are often used in chemotherapy for various cancers. Side effects are more common in bone marrow suppression, liver function impairment, and gastrointestinal responses. Skin effects are rare and easy to be ignored by doctors and patients, which can lead to life-threatening consequence.
PATIENT CONCERNS
We reported a 45-year-old woman patient developed skin erythema and fingernail belt in chemotherapy of 5-FU and ActD.
DIAGNOSIS
Erythema multiforme drug eruption.
INTERVENTIONS
Laboratory tests including blood and urine routine, liver and kidney function, electrolytes and coagulation function and close observation.
OUTCOMES
The rash was gone and the nail change returned.
LESSONS
Delays in diagnosis or treatment may lead to serious consequence. We should pay attention to the dosage of 5-FU and ActD, monitor adverse reactions strictly, to reduce occurrence of skin malignant events.
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