Cutaneous toxicity following the administration of dactinomycin
โ Scribed by Coppes, Max J.; Jorgenson, Keith; Arlette, John P.
- Book ID
- 101218955
- Publisher
- John Wiley and Sons
- Year
- 1997
- Tongue
- English
- Weight
- 272 KB
- Volume
- 29
- Category
- Article
- ISSN
- 0098-1532
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โฆ Synopsis
Dactinomycin (AMD) is an effective drug in the management of several malignant disorders and has been used for almost 40 years. Skin and subcutaneous toxicities following extravasation are well known and can be harmful. Similarly radiation-recall is a well established phenomenon following the administration of AMD. We report a patient who developed a localized brawny erythema in the crural folds and the axillae, likely due to AMD. This rare skin complication of AMD seems to benefit from topical corticosteroid treatment, although postinflammatory hyperpigmentation may take months to disappear.
๐ SIMILAR VOLUMES
Dactinomycin-induced cutaneous toxicity is rare in pediatric patients not receiving radiation therapy. We describe dactinomycin-related lesions in the axilla, groin, and central line exit site of two children treated for rhabdomyosarcoma, neither of whom had received radiation treatment. One patient