Afatinib‐induced toxic epidermal necrolysis: A case report with a literature review

Author:

Belančić Andrej12ORCID,Hlača Nika34,Peternel Sandra34,Golčić Marin5,Prpić‐Massari Larisa34,Vlahović‐Palčevski Vera12

Affiliation:

1. Department of Clinical Pharmacology Clinical Hospital Centre Rijeka Rijeka Croatia

2. Department of Basic and Clinical Pharmacology With Toxicology, Faculty of Medicine University of Rijeka Rijeka Croatia

3. Department of Dermatovenerology Clinical Hospital Centre Rijeka Rijeka Croatia

4. Department of Dermatovenerology, Faculty of Medicine University of Rijeka Rijeka Croatia

5. Department of Radiotherapy and Oncology Clinical Hospital Centre Rijeka Rijeka Croatia

Abstract

We present a 70‐year‐old female patient diagnosed with epidermal growth factor receptor‐mutated metastatic non‐small cell lung cancer (T4N2M1a), who developed afatinib‐induced toxic epidermal necrolysis (TEN). We have also performed a PubMed/Medline literature review to detect other possible cases of TEN/Stevens–Johnson syndrome associated with afatinib treatment and found only 5 other cases reported. To our best knowledge, this is the first case of afatinib‐induced TEN successfully treated with cyclosporine.

Publisher

Wiley

Reference24 articles.

1. Giotrif (afatinib) film‐coated tablets: EU summary of product characteristics. Accessed November 20 2023.https://www.ema.europa.eu/en/medicines/human/EPAR/giotrif

2. Phase III Study of Afatinib or Cisplatin Plus Pemetrexed in Patients With Metastatic Lung Adenocarcinoma With EGFR Mutations

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1. Afatinib;Reactions Weekly;2024-08-24

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