Photosensitivity and cancer immune-targeted therapies

Photodermatol Photoimmunol Photomed. 2020 May;36(3):172-178. doi: 10.1111/phpp.12533. Epub 2020 Feb 11.

Abstract

The novel group of immunological agents used for solid tumors has importantly improved the quality of life and the survival rate of oncologic patients. Compared to conventional chemotherapy agents, they are more effective and less toxic. However, adverse cutaneous effects are commonly observed, and in some cases, they may induce treatment discontinuation, with heavy impact on patient prognosis. Among these, photosensitive reactions, either phototoxic or photoallergic, are increasing. Much remains to be clarified on the understanding of their prevention, diagnosis, and management. We have reviewed the literature about photosensitive reactions occurring during oncologic immunotherapies. Early dermatological diagnosis and adequate management, with oncologist's cooperation, is fundamental.

Keywords: adverse drug reaction; cancer; immune therapy; photoallergic; photosensitivity; phototoxic reaction.

Publication types

  • Review

MeSH terms

  • Antineoplastic Agents, Immunological / adverse effects*
  • Humans
  • Immune Checkpoint Inhibitors / adverse effects*
  • Photosensitivity Disorders / chemically induced*
  • Photosensitivity Disorders / therapy
  • Protein Kinase Inhibitors / adverse effects*

Substances

  • Antineoplastic Agents, Immunological
  • Immune Checkpoint Inhibitors
  • Protein Kinase Inhibitors