Severe exfoliative dermatitis associated with hand ischemia during cisplatin therapy.
BACKGROUND
Platinum is one of the most widely used agents in clinical oncology today. Serious toxic effects are well recognized.


RESULTS
To our knowledge, the current report describes the first case of severe allergic exfoliative dermatitis associated with ischemia and necrosis of the hands in a patient who had received multiple doses of this agent. We postulate that the tissue damage was caused by vasospasm of small vessels from the initial injury triggered by platinum or its associated immune complexes.


CONCLUSIONS
Platinum has become an integral part of combination chemotherapy for various solid tumors. Clinicians must recognize its toxic side effects and control them within tolerable limits.
Lee
T C
TC
Department of Internal Medicine, Mayo Clinic Rochester, MN 55905.
Hook
C C
CC
Long
H J
HJ
D002945:Cisplatin / Q000009:adverse effects*; D003873:Dermatitis, Exfoliative / Q000139:chemically induced*; D003875:Drug Eruptions / Q000209:etiology*; D005260:Female; D006225:Hand / Q000098:blood supply*; D006229:Hand Dermatoses / Q000139:chemically induced*; D006801:Humans; D007511:Ischemia / Q000139:chemically induced*; D008875:Middle Aged; D010051:Ovarian Neoplasms / Q000628:therapy
D002945:Cisplatin