Docetaxel-induced radiation recall dermatitis : A case report and literature review

Strahlenther Onkol. 2016 Oct;192(10):730-6. doi: 10.1007/s00066-016-0984-x. Epub 2016 Jun 10.

Abstract

Radiation recall dermatitis (RRD) refers to an acute inflammatory skin reaction appearing on a previously irradiated area following the systemic administration of a reaction-triggering agent. Despite various hypotheses, the pathomechanism of RRD appears complex and is still not fully understood. In addition, no clinical guidelines exist concerning whether drug treatment should be continued upon manifestation of an associated radiation recall phenomenon. We present the case of a patient with docetaxel-induced RRD, which was successfully treated with topical steroids and systemic antihistamines; re-challenge to docetaxel did result in very mild remanifestation of skin reactions.

Keywords: Anti-inflammatory agents, non-steroidal; Antihistaminics; Corticosteriods; Irradiation; Radiation, sensitizing agents.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adrenal Cortex Hormones / administration & dosage
  • Aged
  • Anti-Inflammatory Agents / administration & dosage
  • Antineoplastic Agents / adverse effects
  • Antineoplastic Agents / therapeutic use
  • Bone Neoplasms / complications
  • Bone Neoplasms / drug therapy
  • Bone Neoplasms / secondary
  • Chemoradiotherapy / adverse effects*
  • Chemoradiotherapy / methods
  • Docetaxel
  • Histamine Antagonists / administration & dosage
  • Humans
  • Male
  • Radiation Tolerance / drug effects*
  • Radiodermatitis / chemically induced*
  • Radiodermatitis / drug therapy*
  • Radiodermatitis / pathology
  • Taxoids / adverse effects*
  • Taxoids / therapeutic use
  • Treatment Outcome

Substances

  • Adrenal Cortex Hormones
  • Anti-Inflammatory Agents
  • Antineoplastic Agents
  • Histamine Antagonists
  • Taxoids
  • Docetaxel