Table 2.
Spectrum of dermatological reactions to EGFR inhibitors39
Adverse Event | Description | Frequency | Time Course |
---|---|---|---|
Rash (follicular-pustular) | Monomorphous erythematous maculopapular, follicular or pustular lesions, which may be associated with mild pruritis | 60–80% | Onset: treatment week 1. |
Maximum: treatment week 3–5. | |||
Resolution: within 4 weeks of treatment cessation, may wax and wane or resolve spontaneously | |||
Paronychia and fissuring | Painful periungual granualtion-type or friable pyogenic granuloma-like changes, associated with erythema, swelling and fissuring of lateral nailfolds and/or distal finger tufts. | 6–12% | Onset: treatment month 2–4 |
Dry skin | Diffuse fine scaling | 4–35% | Occurs after appearance of rash |