[BRAF Inhibitor-Induced Erythema Nodosum-Like Lesions]

Gan To Kagaku Ryoho. 2016 May;43(5):649-52.
[Article in Japanese]

Abstract

BRAF inhibitors have been licensed for the treatment of unresectable or metastatic BRAF-mutated melanomas. In Japan, the BRAF inhibitor vemurafenib has been available since December 2014. Several adverse events induced by BRAF inhibitors have been reported, such as Stevens-Johnson syndrome, toxic epidermal necrosis, squamous cell carcinoma, secondary melanoma, and hand-foot syndrome. Recently, inflammatory skin lesions clinically resembling erythema nodosum have been reported as side effects that may lead to treatment discontinuation. In this report, we described the first Japanese case of erythema nodosum-like lesions induced by vemurafenib and discussed the countermeasures to this adverse reaction. Dose reduction or interruption of BRAF inhibitors should be considered on a case-by-case basis because the condition may resolve spontaneously or under symptomatic treatment. We postulate that erythema nodosum-like lesions can be controlled by careful follow-up and supportive care.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Brain Neoplasms / secondary
  • Brain Neoplasms / therapy
  • Combined Modality Therapy
  • Erythema Nodosum / chemically induced
  • Erythema Nodosum / pathology*
  • Female
  • Humans
  • Magnetic Resonance Imaging
  • Melanoma / therapy*
  • Melanoma, Cutaneous Malignant
  • Middle Aged
  • Protein Kinase Inhibitors / adverse effects*
  • Protein Kinase Inhibitors / therapeutic use
  • Proto-Oncogene Proteins B-raf / antagonists & inhibitors*
  • Skin Neoplasms

Substances

  • Protein Kinase Inhibitors
  • BRAF protein, human
  • Proto-Oncogene Proteins B-raf