A Rare Case of Ixazomib-Induced Cutaneous Necrotizing Vasculitis in a Patient with Relapsed Myeloma

Ixazomib is the only oral proteasome inhibitor used in relapsed/refractory myeloma. Cutaneous side effects due to ixazomib have been documented in the literature; however, cutaneous necrotizing vasculitis is extremely rare. We describe a case of a 74-year-old man with relapsed multiple myeloma who w...

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Main Authors: Heather Katz, Mina Shenouda, Deena Dahshan, George Sonnier, Yehuda Lebowicz
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Case Reports in Hematology
Online Access:http://dx.doi.org/10.1155/2019/6061484
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author Heather Katz
Mina Shenouda
Deena Dahshan
George Sonnier
Yehuda Lebowicz
author_facet Heather Katz
Mina Shenouda
Deena Dahshan
George Sonnier
Yehuda Lebowicz
author_sort Heather Katz
collection DOAJ
description Ixazomib is the only oral proteasome inhibitor used in relapsed/refractory myeloma. Cutaneous side effects due to ixazomib have been documented in the literature; however, cutaneous necrotizing vasculitis is extremely rare. We describe a case of a 74-year-old man with relapsed multiple myeloma who was started on ixazomib, lenalidomide, and dexamethasone. He developed several skin lesions that were biopsied and revealed cutaneous necrotizing vasculitis. Ixazomib was held with resolution of the vasculitic lesions and restarted with dexamethasone to 20 mg on the day of treatment and 20 mg dose the day after treatment.
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publishDate 2019-01-01
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series Case Reports in Hematology
spelling doaj-art-2c2664ca58824f719a6e30c0ddb791a92025-02-03T01:29:58ZengWileyCase Reports in Hematology2090-65602090-65792019-01-01201910.1155/2019/60614846061484A Rare Case of Ixazomib-Induced Cutaneous Necrotizing Vasculitis in a Patient with Relapsed MyelomaHeather Katz0Mina Shenouda1Deena Dahshan2George Sonnier3Yehuda Lebowicz4Department of Hematology/Oncology, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, 500 Hofstra Blvd, Hempstead, NY 11549, USADepartment of Hematology/Oncology, Joan C. Edwards School of Medicine, Marshall University, 1600 Medical Center Dr., Huntington, WV 25701, USAJoan C. Edwards School of Medicine, Marshall University, 1600 Medical Center Dr., Huntington, WV 25701, USADepartment of Dermatology, University of Louisville School of Medicine, Louisville, KY 40203, USADepartment of Hematology/Oncology, UPMC Hillman Cancer Center, 1030 Beaver Hollow Rd., Beaver, PA 15009, USAIxazomib is the only oral proteasome inhibitor used in relapsed/refractory myeloma. Cutaneous side effects due to ixazomib have been documented in the literature; however, cutaneous necrotizing vasculitis is extremely rare. We describe a case of a 74-year-old man with relapsed multiple myeloma who was started on ixazomib, lenalidomide, and dexamethasone. He developed several skin lesions that were biopsied and revealed cutaneous necrotizing vasculitis. Ixazomib was held with resolution of the vasculitic lesions and restarted with dexamethasone to 20 mg on the day of treatment and 20 mg dose the day after treatment.http://dx.doi.org/10.1155/2019/6061484
spellingShingle Heather Katz
Mina Shenouda
Deena Dahshan
George Sonnier
Yehuda Lebowicz
A Rare Case of Ixazomib-Induced Cutaneous Necrotizing Vasculitis in a Patient with Relapsed Myeloma
Case Reports in Hematology
title A Rare Case of Ixazomib-Induced Cutaneous Necrotizing Vasculitis in a Patient with Relapsed Myeloma
title_full A Rare Case of Ixazomib-Induced Cutaneous Necrotizing Vasculitis in a Patient with Relapsed Myeloma
title_fullStr A Rare Case of Ixazomib-Induced Cutaneous Necrotizing Vasculitis in a Patient with Relapsed Myeloma
title_full_unstemmed A Rare Case of Ixazomib-Induced Cutaneous Necrotizing Vasculitis in a Patient with Relapsed Myeloma
title_short A Rare Case of Ixazomib-Induced Cutaneous Necrotizing Vasculitis in a Patient with Relapsed Myeloma
title_sort rare case of ixazomib induced cutaneous necrotizing vasculitis in a patient with relapsed myeloma
url http://dx.doi.org/10.1155/2019/6061484
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