Reactions 1680, p79 - 2 Dec 2017 Pyogenic granuloma: case report A 73-year-old man developed pyogenic granuloma during treatment with capecitabine and oxaliplatin. The man, who was diagnosed with adenocarcinoma of the gastroesophageal junction, started receiving combination therapy with capecitabine and oxaliplatin [route and dosage not stated]. One week after the start of treatment, the skin nodules appeared on his fingers. He was referred for assessment of haemorrhagic nodules appeared on his fingers. He had no history of trauma. Physical examination revealed a pale-reddish, dome-shaped, 5mm nodules on the index fingers and left thumb. Additionally, palmar erythema with tingling sensation was reported. The man’s nodules appearing on his fingers were removed surgically. A histopathological study showed presence of well- circumscribed proliferation of small capillaries in a lobular fashion in the dermis. Based on the medical history and these findings, he was diagnosed with pyogenic granulomas caused due to capecitabine therapy. No reappearance was seen three months after resection. Author comment: ’’Our patient noted the lesions approximately 1 week after the treatment, suggesting that [pyogenic granulomas]/[pyogenic granulomas]-like lesions might have developed in a relatively short period of time after the administration of capecitabine. Although we could find no report of [pyogenic granulomas] caused by oxaliplatin, we cannot exclude the possibility of oxaliplatin as a responsible agent.’’ Fujiwara C, et al. Pyogenic granuloma possibly associated with capecitabine therapy. Journal of Dermatology 44: 1329-1331, No. 11, Nov 2017. Available from: URL: http://doi.org/10.1111/1346-8138.13691 - Japan 803284976 0114-9954/17/1680-0001/$14.95 Adis © 2017 Springer International Publishing AG. All rights reserved Reactions 2 Dec 2017 No. 1680
Reactions Weekly – Springer Journals
Published: Dec 2, 2017
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