Development of Asymmetric Facial Depigmentation in a Patient Treated with Dasatinib with New-Onset Hypovitaminosis D: Case Report and Review of the Literature

Dasatinib is a second-generation tyrosine kinase inhibitor (TKI) used to treat imatinib-resistant chronic myelogenous leukemia (CML), as well as other Philadelphia chromosome-positive lymphoproliferative disorders. While the most commonly reported cutaneous side effects with this therapy include a m...

Full description

Saved in:
Bibliographic Details
Main Authors: Kirsten C. Webb, Magdalena Harasimowicz, Monica Janeczek, Jodi Speiser, James Swan, Rebecca Tung
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Case Reports in Dermatological Medicine
Online Access:http://dx.doi.org/10.1155/2017/9359086
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832549730671919104
author Kirsten C. Webb
Magdalena Harasimowicz
Monica Janeczek
Jodi Speiser
James Swan
Rebecca Tung
author_facet Kirsten C. Webb
Magdalena Harasimowicz
Monica Janeczek
Jodi Speiser
James Swan
Rebecca Tung
author_sort Kirsten C. Webb
collection DOAJ
description Dasatinib is a second-generation tyrosine kinase inhibitor (TKI) used to treat imatinib-resistant chronic myelogenous leukemia (CML), as well as other Philadelphia chromosome-positive lymphoproliferative disorders. While the most commonly reported cutaneous side effects with this therapy include a morbilliform eruption, skin exfoliation, and skin irritation, pigmentary abnormalities have also been observed, albeit much more rarely. We present the case of a 72-year-old South Asian male with CML who presented with new-onset hypopigmentation of his face and scalp three years after a dose increase of dasatinib therapy, in the setting of newly discovered borderline hypovitaminosis D. Dasatinib and the other TKIs are believed to induce dyschromias via modulation of the c-kit receptor and its associated signaling pathway, which is involved in melanocyte survival, proliferation, and migration.
format Article
id doaj-art-8e12fa0e610149fb93d1d7e6520395bb
institution Kabale University
issn 2090-6463
2090-6471
language English
publishDate 2017-01-01
publisher Wiley
record_format Article
series Case Reports in Dermatological Medicine
spelling doaj-art-8e12fa0e610149fb93d1d7e6520395bb2025-02-03T06:08:48ZengWileyCase Reports in Dermatological Medicine2090-64632090-64712017-01-01201710.1155/2017/93590869359086Development of Asymmetric Facial Depigmentation in a Patient Treated with Dasatinib with New-Onset Hypovitaminosis D: Case Report and Review of the LiteratureKirsten C. Webb0Magdalena Harasimowicz1Monica Janeczek2Jodi Speiser3James Swan4Rebecca Tung5Department of Dermatology, Loyola University Chicago, Chicago, IL, USAStritch School of Medicine, Loyola University Chicago, Chicago, IL, USAStritch School of Medicine, Loyola University Chicago, Chicago, IL, USADepartment of Pathology, Loyola University Chicago, Chicago, IL, USADepartment of Dermatology, Loyola University Chicago, Chicago, IL, USADepartment of Dermatology, Loyola University Chicago, Chicago, IL, USADasatinib is a second-generation tyrosine kinase inhibitor (TKI) used to treat imatinib-resistant chronic myelogenous leukemia (CML), as well as other Philadelphia chromosome-positive lymphoproliferative disorders. While the most commonly reported cutaneous side effects with this therapy include a morbilliform eruption, skin exfoliation, and skin irritation, pigmentary abnormalities have also been observed, albeit much more rarely. We present the case of a 72-year-old South Asian male with CML who presented with new-onset hypopigmentation of his face and scalp three years after a dose increase of dasatinib therapy, in the setting of newly discovered borderline hypovitaminosis D. Dasatinib and the other TKIs are believed to induce dyschromias via modulation of the c-kit receptor and its associated signaling pathway, which is involved in melanocyte survival, proliferation, and migration.http://dx.doi.org/10.1155/2017/9359086
spellingShingle Kirsten C. Webb
Magdalena Harasimowicz
Monica Janeczek
Jodi Speiser
James Swan
Rebecca Tung
Development of Asymmetric Facial Depigmentation in a Patient Treated with Dasatinib with New-Onset Hypovitaminosis D: Case Report and Review of the Literature
Case Reports in Dermatological Medicine
title Development of Asymmetric Facial Depigmentation in a Patient Treated with Dasatinib with New-Onset Hypovitaminosis D: Case Report and Review of the Literature
title_full Development of Asymmetric Facial Depigmentation in a Patient Treated with Dasatinib with New-Onset Hypovitaminosis D: Case Report and Review of the Literature
title_fullStr Development of Asymmetric Facial Depigmentation in a Patient Treated with Dasatinib with New-Onset Hypovitaminosis D: Case Report and Review of the Literature
title_full_unstemmed Development of Asymmetric Facial Depigmentation in a Patient Treated with Dasatinib with New-Onset Hypovitaminosis D: Case Report and Review of the Literature
title_short Development of Asymmetric Facial Depigmentation in a Patient Treated with Dasatinib with New-Onset Hypovitaminosis D: Case Report and Review of the Literature
title_sort development of asymmetric facial depigmentation in a patient treated with dasatinib with new onset hypovitaminosis d case report and review of the literature
url http://dx.doi.org/10.1155/2017/9359086
work_keys_str_mv AT kirstencwebb developmentofasymmetricfacialdepigmentationinapatienttreatedwithdasatinibwithnewonsethypovitaminosisdcasereportandreviewoftheliterature
AT magdalenaharasimowicz developmentofasymmetricfacialdepigmentationinapatienttreatedwithdasatinibwithnewonsethypovitaminosisdcasereportandreviewoftheliterature
AT monicajaneczek developmentofasymmetricfacialdepigmentationinapatienttreatedwithdasatinibwithnewonsethypovitaminosisdcasereportandreviewoftheliterature
AT jodispeiser developmentofasymmetricfacialdepigmentationinapatienttreatedwithdasatinibwithnewonsethypovitaminosisdcasereportandreviewoftheliterature
AT jamesswan developmentofasymmetricfacialdepigmentationinapatienttreatedwithdasatinibwithnewonsethypovitaminosisdcasereportandreviewoftheliterature
AT rebeccatung developmentofasymmetricfacialdepigmentationinapatienttreatedwithdasatinibwithnewonsethypovitaminosisdcasereportandreviewoftheliterature