5-aminolevulinic acid-mediated photodynamic therapy (ALA-PDT) for acneform rash induced by erlotinib: A case report

Photodiagnosis Photodyn Ther. 2022 Sep:39:102994. doi: 10.1016/j.pdpdt.2022.102994. Epub 2022 Jul 2.

Abstract

Erlotinib is an anticancer drug approved for the treatment of non-small cell lung cancer. It inhibits growth and proliferation of tumor cells by targeting epidermal growth factor receptor (EGFR). Dermatological toxicities are common side effects associated with EGFR inhibition. Here we describe a patient with acneform rash following oral medication of erlotinib, presented as facial erythema, papules and pustules. Two sessions of 5-aminolevulinic acid induced photodynamic therapy (ALA-PDT) with a 2-week interval were performed. No significant side effects or scarring were observed. The patient showed no recurrence within 6 months. Thus, we conclude that ALA-PDT is an effective treatment for skin lesions induced by erlotinib, especially for patients with need to sustain medication.

Keywords: 5-aminolevulinic acid; Acne; Epidermal growth factor receptor; Erlotinib; Photodynamic therapy.

Publication types

  • Case Reports

MeSH terms

  • Acne Vulgaris* / drug therapy
  • Aminolevulinic Acid / adverse effects
  • Carcinoma, Non-Small-Cell Lung* / drug therapy
  • ErbB Receptors
  • Erlotinib Hydrochloride / adverse effects
  • Exanthema* / chemically induced
  • Exanthema* / drug therapy
  • Humans
  • Lung Neoplasms* / drug therapy
  • Photochemotherapy* / methods
  • Photosensitizing Agents / adverse effects
  • Skin Diseases* / drug therapy

Substances

  • Photosensitizing Agents
  • Aminolevulinic Acid
  • Erlotinib Hydrochloride
  • ErbB Receptors