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A Review of Bullous Dermatologic Adverse Events Associated with Anti-Cancer Therapy

Journal

BIOMEDICINES
Volume 11, Issue 2, Pages -

Publisher

MDPI
DOI: 10.3390/biomedicines11020323

Keywords

bullous; dermatologic adverse events; cutaneous adverse events; anti-cancer therapy; immunotherapy; immune checkpoint inhibitors; chemotherapy; targeted therapy

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The rapid development of anti-cancer therapy has improved treatment outcomes for cancer patients, but it has also been associated with the occurrence of bullous dermatologic adverse events (DAE), which can negatively impact patients' quality of life and treatment continuation. Effective management of these adverse events is crucial for minimizing treatment interruptions and maintaining the anti-tumor effect.
The rapid evolution of anti-cancer therapy (including chemotherapy, targeted therapy, and immunotherapy) in recent years has led to a more favorable efficacy and safety profile for a growing cancer population, and the improvement of overall survival and reduction of morbidity for many cancers. Anti-cancer therapy improves outcomes for cancer patients; however, many classes of anti-cancer therapy have been implicated in the induction of bullous dermatologic adverse events (DAE), leading to reduced patient quality of life and in some cases discontinuation of life-prolonging or palliative therapy. Timely and effective management of adverse events is critical for reducing treatment interruptions and preserving an anti-tumor effect. Bullous DAE may be limited to the skin or have systemic involvement with greater risk of morbidity and mortality. We present the epidemiology, diagnosis, pathogenesis, and management of bullous DAE secondary to anti-cancer therapies to enable clinicians to optimize management for these patients.

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