European recommendations for management of immune checkpoint inhibitors-derived dermatologic adverse events. The EADV task force 'Dermatology for cancer patients' position statement.


Journal

Journal of the European Academy of Dermatology and Venereology : JEADV
ISSN: 1468-3083
Titre abrégé: J Eur Acad Dermatol Venereol
Pays: England
ID NLM: 9216037

Informations de publication

Date de publication:
Mar 2022
Historique:
revised: 10 11 2021
received: 18 07 2021
accepted: 18 11 2021
pubmed: 16 12 2021
medline: 19 2 2022
entrez: 15 12 2021
Statut: ppublish

Résumé

The introduction of immune checkpoint inhibitors (ICIs) opened a new era in oncologic therapy. The favourable profile of ICIs in terms of efficacy and safety can be overshadowed by the development of immune-related adverse events (irAEs). Dermatologic irAEs (dirAEs) appear in about 40% of patients undergoing immunotherapy and mainly include maculopapular, psoriasiform, lichenoid and eczematous rashes, auto-immune bullous disorders, pigmentary disorders, pruritus, oral mucosal lesions, hair and nail changes, as well as a few rare and potentially life-threatening toxicities. The EADV task force Dermatology for Cancer Patients merged the clinical experience of the so-far published data, incorporated the quantitative and qualitative characteristics of each specific dirAEs, and released dermatology-derived, phenotype-specific treatment recommendations for cutaneous toxicities (including levels of evidence and grades of recommendation). The basic principle of management is that the interventions should be tailored to serve the equilibrium between patients' relief from the symptoms and signs of skin toxicity and the preservation of an unimpeded oncologic treatment.

Identifiants

pubmed: 34910332
doi: 10.1111/jdv.17855
doi:

Substances chimiques

Immune Checkpoint Inhibitors 0

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

332-350

Informations de copyright

© 2021 European Academy of Dermatology and Venereology.

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Auteurs

Z Apalla (Z)

Second Dermatology Department, Medical School, Faculty of Health Sciences, Aristotle University of Thessaloniki, Thessaloniki, Greece.

V Nikolaou (V)

First Department of Dermatology, "Andreas Sygros" Hospital for Skin Diseases, National and Kapodestrian University of Athens, Medical School, Athens, Greece.

D Fattore (D)

Section of Dermatology, Department of Clinical Medicine and Surgery, University of Naples Federico II, Naples, Italy.

G Fabbrocini (G)

Section of Dermatology, Department of Clinical Medicine and Surgery, University of Naples Federico II, Naples, Italy.

A Freites-Martinez (A)

Servicio de Dermatología, Hospital Ruber Juan Bravo y Universidad Europea, Madrid, España.

P Sollena (P)

Dipartimento di Scienze Mediche e Chirurgiche, Dermatologia, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
Dermatologia, Università Cattolica del Sacro Cuore, Rome, Italy.

M Lacouture (M)

Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York, USA.

L Kraehenbuehl (L)

Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Parker Institute for Cancer Immunotherapy, Ludwig Collaborative and Swim Across America Laboratory, Human Oncology and Pathogenesis Program, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Department of Dermatology, University Hospital Zurich, Zurich, Switzerland.

A Stratigos (A)

First Department of Dermatology, "Andreas Sygros" Hospital for Skin Diseases, National and Kapodestrian University of Athens, Medical School, Athens, Greece.

K Peris (K)

Dipartimento di Scienze Mediche e Chirurgiche, Dermatologia, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
Dermatologia, Università Cattolica del Sacro Cuore, Rome, Italy.

E Lazaridou (E)

Second Dermatology Department, Medical School, Faculty of Health Sciences, Aristotle University of Thessaloniki, Thessaloniki, Greece.

B Richert (B)

Department of Dermatology, Brugmann & Saint-Pierre University Hospital, Université Libre de Bruxelles, Brussels, Belgium.

E Vigarios (E)

Department of Oral Medicine, Institut Claudius Regaud, Institut Universitaire du Cancer Toulouse-Oncopole, Toulouse, France.

J Riganti (J)

Hospital Italiano of Buenos Aires, Buenos Aires, Argentina.

B Baroudjian (B)

Dermatology Department, Saint Louis Hospital, Université de Paris, AP-HP, INSERM U976, Paris, France.

A Filoni (A)

Section of Dermatology, Department of Biomedical Science and Human Oncology, University of Bari, Bari, Italy.

R Dodiuk-Gad (R)

Dermatology Department, Emek Medical Center, Afula, Israel.

C Lebbé (C)

Dermatology Department, Saint Louis Hospital, Université de Paris, AP-HP, INSERM U976, Paris, France.

V Sibaud (V)

Oncodermatology Department, Cancer University Institute, Toulouse Oncopole, Toulouse, France.

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