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Case Reports
. 2014 May-Jun;46(3):334-6.
doi: 10.4103/0253-7613.132189.

Sorafenib-induced hand-foot syndrome in a patient of renal cell carcinoma

Affiliations
Case Reports

Sorafenib-induced hand-foot syndrome in a patient of renal cell carcinoma

Amrita Sil et al. Indian J Pharmacol. 2014 May-Jun.

Abstract

Sorafenib, a multikinase inhibitor, is approved for treatment of renal cell cancer and hepatocellular cancer. Hand-foot syndrome (HFD) is a condition where erythema, scaling, and bullous lesion affect the hand and feet. In this case, a post-nephrectomy renal carcinoma patient prescribed sorafenib developed HFD 1 week after the drug usage. All laboratory parameters were within normal limits. The dose of sorafenib was reduced and topical corticosteroids, antihistamines, and emollients were prescribed. The reaction reduced after 2 weeks of therapy, only to reappear again when the second cycle of sorafenib-targeted therapy was started. The case was diagnosed as sorafenib-induced HFD.

Keywords: Hand-foot syndrome; renal cell carcinoma; sorafenib.

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Conflict of interest statement

Conflict Interest: No

Figures

Figure 1
Figure 1
Tense vesicles and bullae over palmer surface of tip of fingers and interphalangeal joints
Figure 2
Figure 2
Focal hyperkeratosis over the pressure points of sole
Figure 3
Figure 3
Healed bullae on completion of sorafenib-targeted therapy and treatment with topical clobetasol

References

    1. Robert C, Mateus C, Spatz A, Wechsler J, Escudier B. Dermatologic symptoms associated with the multikinase inhibitor sorafenib. J Am Acad Dermatol. 2009;60:299–305. - PubMed
    1. Demirçay Z, Gürbüz O, Alpdoğan T, Yücelten D, Alpdoğan O, Kurtkaya O, et al. Chemotherapy-induced acral erythema in leukemic patients: A report of 15 cases. Int J Dermatol. 1997;36:593–8. - PubMed
    1. McLellan B, Kerr H. Cutaneous toxicities of the multikinase inhibitors sorafenib and sunitinib. Dermatol Ther. 2011;24:396–400. - PubMed
    1. Uppsala: The Uppsala Monitoring Centre; 2005. [Last accessed on 2013 Jul 16]. The use of the WHO-UMC system for standardized case causality assessment [monograph on the Internet] Available from: http://www.who-umc.org/graphics/4409.pdf .
    1. Naranjo CA, Busto U, Sellers EM, Sandor P, Ruiz I, Roberts EA, et al. A method of estimating the probability of adverse drug reactions. Clin Pharmacol Ther. 1981;30:239–45. - PubMed

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