Vemurafenib-Induced Toxic Epidermal Necrolysis: An Emerging Adverse Event

• Autor(a) principal: Monteiro, Ana Filipe
• Data de Publicação: 2018
• Outros Autores: Rato, Margarida, Martins, César
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
• Texto Completo: https://doi.org/10.29021/spdv.76.3.926
• topic: Antineoplastic Agents/adverse effects; Melanoma/drug therapy; Stevens-Johnson Syndrome/etiology; Vemurafenib; Antineoplásicos/efeitos adversos; Melanoma/tratamento; Síndrome de Stevens-Johnson/etiologia; Vemurafenib

Vemurafenib, a selective inhibitor of the BRAF V600 mutation, is Food and Drug Administration and European Medicines Agency approved for the treatment of stage IV metastatic melanoma alone or in combination. Among the adverse effects, cutaneous toxicity is the most common. Most of these reactions such as maculopapular rash, photosensitivity and hyperkeratotic lesions are manageable, and the majority of patients are able to continue therapy. However, a few cases of life-threatening severe cutaneous adverse reactions have been reported and drug withdrawal is mandatory in these cases. Herein, we report a case of vemurafenib- -induced toxic epidermal necrolysis in a patient receiving therapy for metastatic melanoma. After several hospital complications, our patient survived to the drug-induced reaction and he is in remission for 2 years.