title: An intertrigo-like eruption from pegylated liposomal doxorubicin.
abstract: Pegylated liposomal doxorubicin (PLD) is a chemotherapeutic agent used in the treatment of solid tumors. It has a considerably lower risk of cardiotoxicity than its parent compound, doxorubicin. PLD also has a different cutaneous side effect profile than doxorubicin, and its cutaneous toxicity can be dose limiting. We report the case of a 60-year-old woman who developed erythema and erosions in the axilla and groin while on PLD for breast cancer. Nystatin was ineffective. Biopsies revealed an interface dermatitis with epidermal dysmaturation. Bland emollients and reduction in the dose of PLD resulted in resolution of the eruption. An intertriginous eruption with histological features of epidermal dysmaturation and an interface dermatitis has been previously reported in the dermatopathology literature. This eruption appears to be a distinct cutaneous toxicity of PLD.
authors.affiliation: University of Utah, Department of Dermatology, School of Medicine, Salt Lake City, UT 84132-2409, USA. gretchen.korver@hsc.utah.edu
authors.forename: Gretchen E
authors.initials: GE
authors.lastname: Korver
authors.forename: Harris
authors.initials: H
authors.lastname: Ronald
authors.forename: Marta J
authors.initials: MJ
authors.lastname: Petersen
mesh_terms: D000903:Antibiotics, Antineoplastic / Q000008:administration & dosage / Q000009:adverse effects*; D001365:Axilla / Q000473:pathology; D001943:Breast Neoplasms / Q000188:drug therapy* / Q000473:pathology; D003937:Diagnosis, Differential; D004317:Doxorubicin / Q000008:administration & dosage / Q000009:adverse effects*; D003875:Drug Eruptions / Q000175:diagnosis* / Q000209:etiology / Q000473:pathology; D005260:Female; D006119:Groin / Q000473:pathology; D006801:Humans; D007402:Intertrigo / Q000139:chemically induced / Q000175:diagnosis* / Q000473:pathology; D008175:Lung Neoplasms / Q000188:drug therapy* / Q000556:secondary; D008875:Middle Aged; D009362:Neoplasm Metastasis
chemical_list: D000903:Antibiotics, Antineoplastic; D004317:Doxorubicin