Facial Papulopustular Eruption during the COVID-19 Pandemic in Patients Treated with EGFR Inhibitors

Papulopustular rash (PPR) is the most frequent cutaneous adverse event during treatment with epidermal growth factor receptor inhibitors (EGFRis). Although often mild in severity, it can impair patients’ quality of life and may also be a reason for discontinuing or changing the dose of the antineopl...

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Main Authors: Eleonora De Luca, Pietro Sollena, Lucia Di Nardo, Ettore D’Argento, Emanuele Vita, Giampaolo Tortora, Ketty Peris
Format: Article
Language:English
Published: Wiley 2024-01-01
Series:Dermatology Research and Practice
Online Access:http://dx.doi.org/10.1155/2024/8859032
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author Eleonora De Luca
Pietro Sollena
Lucia Di Nardo
Ettore D’Argento
Emanuele Vita
Giampaolo Tortora
Ketty Peris
author_facet Eleonora De Luca
Pietro Sollena
Lucia Di Nardo
Ettore D’Argento
Emanuele Vita
Giampaolo Tortora
Ketty Peris
author_sort Eleonora De Luca
collection DOAJ
description Papulopustular rash (PPR) is the most frequent cutaneous adverse event during treatment with epidermal growth factor receptor inhibitors (EGFRis). Although often mild in severity, it can impair patients’ quality of life and may also be a reason for discontinuing or changing the dose of the antineoplastic treatment. During COVID-19 pandemics, the use of surgical masks drastically increased and it had an impact on the face skin microenvironment, favoring the worsening of dermatological pathologies. We reported the relapse of PPR in patients treated with EGFR inhibitors who consistently wore face masks (>6 hours/day). All the patients developed the PPR within 6 months of starting mask use. Compared to the PPR occurred previously, after mask use, the skin eruption was more severe and affected mainly those regions of the face which came into contact with the mask. Patients received topical or systemic treatment, obtaining complete response in 65.7% of the cases. The establishment of an early treatment for the PPR allows continuing the oncologic treatment, without any suspension which could result in a decreased oncologic outcome. In conclusion, when using these devices, it is recommended to use special precautions, particularly in oncologic patients, by using a daily prophylactic skincare and replacing masks regularly with regular and frequent breaks.
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institution Kabale University
issn 1687-6113
language English
publishDate 2024-01-01
publisher Wiley
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series Dermatology Research and Practice
spelling doaj-art-b8cab60b1e60421f9c2e73ca03bd6e182025-02-03T06:47:13ZengWileyDermatology Research and Practice1687-61132024-01-01202410.1155/2024/8859032Facial Papulopustular Eruption during the COVID-19 Pandemic in Patients Treated with EGFR InhibitorsEleonora De Luca0Pietro Sollena1Lucia Di Nardo2Ettore D’Argento3Emanuele Vita4Giampaolo Tortora5Ketty Peris6DermatologiaDermatologiaDermatologiaOncologiaOncologiaOncologiaDermatologiaPapulopustular rash (PPR) is the most frequent cutaneous adverse event during treatment with epidermal growth factor receptor inhibitors (EGFRis). Although often mild in severity, it can impair patients’ quality of life and may also be a reason for discontinuing or changing the dose of the antineoplastic treatment. During COVID-19 pandemics, the use of surgical masks drastically increased and it had an impact on the face skin microenvironment, favoring the worsening of dermatological pathologies. We reported the relapse of PPR in patients treated with EGFR inhibitors who consistently wore face masks (>6 hours/day). All the patients developed the PPR within 6 months of starting mask use. Compared to the PPR occurred previously, after mask use, the skin eruption was more severe and affected mainly those regions of the face which came into contact with the mask. Patients received topical or systemic treatment, obtaining complete response in 65.7% of the cases. The establishment of an early treatment for the PPR allows continuing the oncologic treatment, without any suspension which could result in a decreased oncologic outcome. In conclusion, when using these devices, it is recommended to use special precautions, particularly in oncologic patients, by using a daily prophylactic skincare and replacing masks regularly with regular and frequent breaks.http://dx.doi.org/10.1155/2024/8859032
spellingShingle Eleonora De Luca
Pietro Sollena
Lucia Di Nardo
Ettore D’Argento
Emanuele Vita
Giampaolo Tortora
Ketty Peris
Facial Papulopustular Eruption during the COVID-19 Pandemic in Patients Treated with EGFR Inhibitors
Dermatology Research and Practice
title Facial Papulopustular Eruption during the COVID-19 Pandemic in Patients Treated with EGFR Inhibitors
title_full Facial Papulopustular Eruption during the COVID-19 Pandemic in Patients Treated with EGFR Inhibitors
title_fullStr Facial Papulopustular Eruption during the COVID-19 Pandemic in Patients Treated with EGFR Inhibitors
title_full_unstemmed Facial Papulopustular Eruption during the COVID-19 Pandemic in Patients Treated with EGFR Inhibitors
title_short Facial Papulopustular Eruption during the COVID-19 Pandemic in Patients Treated with EGFR Inhibitors
title_sort facial papulopustular eruption during the covid 19 pandemic in patients treated with egfr inhibitors
url http://dx.doi.org/10.1155/2024/8859032
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