Skin Adverse Events During Dual and Triple Therapy for HCV-Related Cirrhosis

Hepat Mon. 2014 Mar 11;14(3):e16632. doi: 10.5812/hepatmon.16632. eCollection 2014 Mar.

Abstract

Introduction: Dermatological adverse events are an existing concern during treatment of hepatitis C virus infection. Peginterferon/ribavirin treatment is associated with well-characterized dermatological lesions tending towards a uniform entity of dermatitis. New telaprevir- or boceprevir-based triple-therapy has led to significant improvements in sustained virological response rates, although associated with an increase in cutaneous adverse events compared peginterferon/ribavirin alone.

Case presentation: We report a case of a patient who discontinued telaprevir because of severe skin eruptions and who, during ribavirin and interferon treatment, after a period free of skin lesions, developed new dermatological lesions different than those experienced during telaprevir treatment.

Conclusions: Several adverse effects are associated to anti-HCV drugs, hence appropriate skin care management and follow-up are very important. A careful anamnesis before the initiation of triple therapy is necessary to identify previous dermatological diseases that could increase skin adverse effects incidence.

Keywords: Liver Cirrhosis; Skin Diseases; Telaprevir.

Publication types

  • Case Reports