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        "resumen" => "<span class="elsevierStyleSectionTitle">Introduction</span><p class="elsevierStyleSimplePara elsevierViewall">Erlotinib is an inhibitor of human epidermal growth factor approved for treating nonsmall cell lung cancer&#46; The aim of this prospective observational study was to determine the prevalence of adverse cutaneous reactions caused by erlotinib and assess the management of such effects&#46;</p> <span class="elsevierStyleSectionTitle">Methods</span><p class="elsevierStyleSimplePara elsevierViewall">Eleven patients with lung cancer and 1 with ovarian cancer received erlotinib at a dose of 150<span class="elsevierStyleHsp" style=""></span>mg&#47;d&#46; The prevalence&#44; severity&#44; and time course of the adverse cutaneous reactions were assessed&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">The most frequent cutaneous reaction was acneiform eruption &#40;10 cases&#41;&#46; The patients were treated with topical erythromycin and clindamycin&#44; or with doxycycline&#46; Also reported were seborrheic dermatitis &#40;5&#41;&#44; paronychia &#40;4&#41;&#44; xerosis &#40;3&#41;&#44; mouth blisters &#40;3&#41;&#44; blepharitis &#40;2&#41;&#44; cheilitis &#40;1&#41;&#44; and fissures on the hands and feet &#40;1&#41;&#46; The first reactions to appear were seborrheic dermatitis &#40;9&#46;8 days until onset&#41; and acneiform eruption &#40;11&#46;8 days&#41;&#44; whereas the paronychia presented latest &#40;65&#46;3 days&#41;&#46; One patient with acneiform eruption and another with paronychia suspended treatment until the lesions improved&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">Erlotinib induces adverse effects in most patients treated&#46; Acneiform eruption&#44; seborrheic dermatitis&#44; and paronychia are the most frequently reported reactions and can lead to temporary suspension of erlotinib administration&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Introducci&#243;n</span><p class="elsevierStyleSimplePara elsevierViewall">El erlotinib es un inhibidor del factor de crecimiento epid&#233;rmico humano aprobado en el tratamiento del c&#225;ncer de pulm&#243;n no microc&#237;tico&#46; El objetivo de este estudio prospectivo y observacional es determinar la prevalencia de los efectos cut&#225;neos adversos por erlotinib y su manejo&#46;</p> <span class="elsevierStyleSectionTitle">M&#233;todos</span><p class="elsevierStyleSimplePara elsevierViewall">Once pacientes con c&#225;ncer de pulm&#243;n y una con c&#225;ncer de ovario fueron tratados con erlotinib en dosis de 150 mg diarios&#46; Se evalu&#243; la prevalencia&#44; la intensidad y la cronolog&#237;a de los efectos cut&#225;neos adversos&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">La reacci&#243;n cut&#225;nea m&#225;s frecuente fue la erupci&#243;n acneiforme &#40;10 casos&#41;&#46; Los pacientes fueron tratados con eritromicina o clindamicina t&#243;picas&#44; o con doxicilina&#46; Los pacientes tambi&#233;n desarrollaron dermatitis seborreica &#40;5&#41;&#44; paroniquia &#40;4&#41;&#44; xerosis &#40;3&#41;&#44; aftas orales &#40;3&#41;&#44; blefaritis &#40;2&#41;&#44; queilitis &#40;1&#41; y fisuras en manos y pies &#40;1&#41;&#46; Los efectos adversos m&#225;s precoces fueron la dermatitis seborreica &#40;9&#44;8 d&#237;as hasta la aparici&#243;n&#41; y la erupci&#243;n acneiforme &#40;11&#44;8 d&#237;as&#41;&#44; mientras que la paroniquia fue el efecto m&#225;s tard&#237;o &#40;65&#44;3 d&#237;as&#41;&#46; Un paciente con erupci&#243;n acneiforme y otro con paroniquia suspendieron el tratamiento con erlotinib hasta la mejor&#237;a de las lesiones&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">El erlotinib produce efectos cut&#225;neos adversos en la gran mayor&#237;a de los pacientes tratados&#46; La erupci&#243;n acneiforme&#44; la dermatitis seborreica y la paroniquia son los efectos m&#225;s frecuentes&#44; que pueden llevar a interrumpir temporalmente la administraci&#243;n de erlotinib&#46;</p>"
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Original articles
Adverse Cutaneous Reactions to Erlotinib
Efectos Cutáneos Adversos Causados Por Erlotinib
G. Pitarcha,
Autor para correspondencia
gerardpitarch@hotmail.com

Correspondence: Servicio de Dermatología, Hospital General de Castelló, Avda. Benicàssim s/n, 12004 Castelló de la Plana, Spain.
, J. Gardeb, A. Torrijosa, A. Juárezb, M.I. Febrera, C. Campsb
a Servicio de Dermatología, Consorci Hospital General Universitari de València, Valencia, Spain
b Servicio de Oncología Médica, Consorci Hospital General Universitari de València, Valencia, Spain
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      "es" => array:1 [
        "titulo" => "Efectos Cut&#225;neos Adversos Causados Por Erlotinib"
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        "titulo" => "Abstract"
        "resumen" => "<span class="elsevierStyleSectionTitle">Introduction</span><p class="elsevierStyleSimplePara elsevierViewall">Erlotinib is an inhibitor of human epidermal growth factor approved for treating nonsmall cell lung cancer&#46; The aim of this prospective observational study was to determine the prevalence of adverse cutaneous reactions caused by erlotinib and assess the management of such effects&#46;</p> <span class="elsevierStyleSectionTitle">Methods</span><p class="elsevierStyleSimplePara elsevierViewall">Eleven patients with lung cancer and 1 with ovarian cancer received erlotinib at a dose of 150<span class="elsevierStyleHsp" style=""></span>mg&#47;d&#46; The prevalence&#44; severity&#44; and time course of the adverse cutaneous reactions were assessed&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">The most frequent cutaneous reaction was acneiform eruption &#40;10 cases&#41;&#46; The patients were treated with topical erythromycin and clindamycin&#44; or with doxycycline&#46; Also reported were seborrheic dermatitis &#40;5&#41;&#44; paronychia &#40;4&#41;&#44; xerosis &#40;3&#41;&#44; mouth blisters &#40;3&#41;&#44; blepharitis &#40;2&#41;&#44; cheilitis &#40;1&#41;&#44; and fissures on the hands and feet &#40;1&#41;&#46; The first reactions to appear were seborrheic dermatitis &#40;9&#46;8 days until onset&#41; and acneiform eruption &#40;11&#46;8 days&#41;&#44; whereas the paronychia presented latest &#40;65&#46;3 days&#41;&#46; One patient with acneiform eruption and another with paronychia suspended treatment until the lesions improved&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">Erlotinib induces adverse effects in most patients treated&#46; Acneiform eruption&#44; seborrheic dermatitis&#44; and paronychia are the most frequently reported reactions and can lead to temporary suspension of erlotinib administration&#46;</p>"
      ]
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        "titulo" => "Resumen"
        "resumen" => "<span class="elsevierStyleSectionTitle">Introducci&#243;n</span><p class="elsevierStyleSimplePara elsevierViewall">El erlotinib es un inhibidor del factor de crecimiento epid&#233;rmico humano aprobado en el tratamiento del c&#225;ncer de pulm&#243;n no microc&#237;tico&#46; El objetivo de este estudio prospectivo y observacional es determinar la prevalencia de los efectos cut&#225;neos adversos por erlotinib y su manejo&#46;</p> <span class="elsevierStyleSectionTitle">M&#233;todos</span><p class="elsevierStyleSimplePara elsevierViewall">Once pacientes con c&#225;ncer de pulm&#243;n y una con c&#225;ncer de ovario fueron tratados con erlotinib en dosis de 150 mg diarios&#46; Se evalu&#243; la prevalencia&#44; la intensidad y la cronolog&#237;a de los efectos cut&#225;neos adversos&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">La reacci&#243;n cut&#225;nea m&#225;s frecuente fue la erupci&#243;n acneiforme &#40;10 casos&#41;&#46; Los pacientes fueron tratados con eritromicina o clindamicina t&#243;picas&#44; o con doxicilina&#46; Los pacientes tambi&#233;n desarrollaron dermatitis seborreica &#40;5&#41;&#44; paroniquia &#40;4&#41;&#44; xerosis &#40;3&#41;&#44; aftas orales &#40;3&#41;&#44; blefaritis &#40;2&#41;&#44; queilitis &#40;1&#41; y fisuras en manos y pies &#40;1&#41;&#46; Los efectos adversos m&#225;s precoces fueron la dermatitis seborreica &#40;9&#44;8 d&#237;as hasta la aparici&#243;n&#41; y la erupci&#243;n acneiforme &#40;11&#44;8 d&#237;as&#41;&#44; mientras que la paroniquia fue el efecto m&#225;s tard&#237;o &#40;65&#44;3 d&#237;as&#41;&#46; Un paciente con erupci&#243;n acneiforme y otro con paroniquia suspendieron el tratamiento con erlotinib hasta la mejor&#237;a de las lesiones&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">El erlotinib produce efectos cut&#225;neos adversos en la gran mayor&#237;a de los pacientes tratados&#46; La erupci&#243;n acneiforme&#44; la dermatitis seborreica y la paroniquia son los efectos m&#225;s frecuentes&#44; que pueden llevar a interrumpir temporalmente la administraci&#243;n de erlotinib&#46;</p>"
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